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NPI Code Detail

MEDICARE: ALEXIS PATTERSON

MEDICARE: ALEXIS PATTERSON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse4704399381MI

General Provider Information

NPI Number : 1851254718
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXIS PATTERSON
Provider Business Mailing Address
First Line : 3185 AARON LN
Second Line :
City : TRAVERSE CITY
State : MI
Zip : 49685-7987
Country : US
Telephone Number : 734-838-7077
Fax Number :
Provider Business Practice Location Address
First Line : 3185 AARON LN
Second Line :
City : TRAVERSE CITY
State : MI
Zip : 49685-7987
Country : US
Telephone Number : 734-838-7077
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/08/2025
Last Update Date : 12/08/2025

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Directions to “ ALEXIS PATTERSON ” Practice Location

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