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Individual

ALEXIS WEAVER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PMHNP-BC

Contact information

Practice address
8215 GREENWAY BLVD STE 160, MIDDLETON, WI 53562-3689
(608) 801-4741
Mailing address
4800 N SCOTTSDALE RD STE 2500, SCOTTSDALE, AZ 85251-7630
(262) 999-3495
(608) 236-4460

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
16968-33
WI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
209025492
IL

Other

Enumeration date
09/13/2022
Last updated
12/31/2025
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