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Individual
ALEXIS CUSHMAN
Active
Individual
ALEXIS CUSHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2337543
MA
363L00000X
Nurse Practitioner
RN2337543
MA
363LG0600X
Gerontology Nurse Practitioner
Primary
116213
NE
363LG0600X
Gerontology Nurse Practitioner
RN2337543
MA
Other
Enumeration date
08/11/2021
Last updated
10/31/2025
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