Alexis, Amanda Rae

Alexis, Amanda Rae is an individual health care provider with primary practice located at 5225 23Rd Ave S , Fargo ND 58104-7927. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Alexis, Amanda Rae can be contacted via phone (701) 234-2000.

Contact Information

Primary practice address
5225 23Rd Ave S Fargo ND 58104-7927
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X R44908 North Dakota

Profile Details

NPI number 1538689294
LBN Legal business name Alexis, Amanda Rae
Credentials CPNP-PC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2017
Last updated Dec 5th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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