Provider Demographics
NPI:1902538069
Name:THURMAN, ALEXIS (LPN)
Entity Type:Individual
Prefix:
First Name:ALEXIS
Middle Name:
Last Name:THURMAN
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8841 LYNDALL LN
Mailing Address - Street 2:
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33403-1639
Mailing Address - Country:US
Mailing Address - Phone:561-838-7074
Mailing Address - Fax:
Practice Address - Street 1:8841 LYNDALL LN
Practice Address - Street 2:
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33403-1639
Practice Address - Country:US
Practice Address - Phone:561-838-7074
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-28
Last Update Date:2022-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPN5243128164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
PN5243128OtherLPN