MEDICARE: ALEXIS CHARMAINE GREENE

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
1	374U00000X	Home Health Aide

General Provider Information

NPI Number	:	1891682647
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXIS CHARMAINE GREENE

Provider Business Mailing Address
First Line	:	3400 S CLARK ST APT 421
Second Line	:
City	:	ARLINGTON
State	:	VA
Zip	:	22202-4054
Country	:	US
Telephone Number	:	202-847-7310
Fax Number	:

Provider Business Practice Location Address
First Line	:	3400 S CLARK ST APT 421
Second Line	:
City	:	ARLINGTON
State	:	VA
Zip	:	22202-4054
Country	:	US
Telephone Number	:	202-847-7310
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/23/2025
Last Update Date	:	06/23/2025

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Directions to “ ALEXIS CHARMAINE GREENE ” Practice Location

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