Provider Demographics
NPI:1902505191
Name:ZACHRISON, ALEXIS (APRN)
Entity Type:Individual
Prefix:
First Name:ALEXIS
Middle Name:
Last Name:ZACHRISON
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11759 ALESSANDRO LN
Mailing Address - Street 2:
Mailing Address - City:VENICE
Mailing Address - State:FL
Mailing Address - Zip Code:34293-1485
Mailing Address - Country:US
Mailing Address - Phone:701-320-9083
Mailing Address - Fax:
Practice Address - Street 1:11759 ALESSANDRO LN
Practice Address - Street 2:
Practice Address - City:VENICE
Practice Address - State:FL
Practice Address - Zip Code:34293-1485
Practice Address - Country:US
Practice Address - Phone:701-320-9083
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-27
Last Update Date:2023-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11024656363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology