Ventura, Alexis Marie

Ventura, Alexis Marie is an individual health care provider with primary practice located at 13250 Washington Ave , Mount Pleasant WI 53177-1516. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Ventura, Alexis Marie can be contacted via phone (262) 857-5000.

Contact Information

Primary practice address
13250 Washington Ave Mount Pleasant WI 53177-1516
Phone: (262) 857-5000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 124004 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 9355 Wisconsin

Profile Details

NPI number 1003475609
LBN Legal business name Ventura, Alexis Marie
Credentials DNP, CRNA
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2019
Last updated Feb 9th, 2022 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1003475609 NPPES
Wisconsin MEDICAID 100091293

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