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NPI Code Detail

MEDICARE: ALEXA VALERIA BOBELIS ARNP

MEDICARE: ALEXA VALERIA BOBELIS ARNP
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
1363LP0200XPediatric Nurse Practitioner33927TN
2208000000XPediatrics PhysicianARNP9326221FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1942720529
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXA VALERIA BOBELIS ARNP
Provider Business Mailing Address
First Line : 262 DANNY THOMAS PL # MS 515
Second Line :
City : MEMPHIS
State : TN
Zip : 38105-3678
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 262 DANNY THOMAS PL
Second Line :
City : MEMPHIS
State : TN
Zip : 38105-3678
Country : US
Telephone Number : 888-226-4343
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/23/2017
Last Update Date : 03/09/2026

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