Individual
ALEXIS MARIE PHETSAVANH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
9092 WESTGATE PKWY W, AMARILLO, TX 79124-2441
(806) 355-9741
(806) 356-0045
Mailing address
9092 WESTGATE PKWY W, AMARILLO, TX 79124-2441
(806) 355-9741
(806) 356-0045
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
1156971
TX
363LF0000X
Family Nurse Practitioner
Primary
1156971
TX
Other
Enumeration date
04/08/2024
Last updated
09/25/2025
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