Individual
ALEXIS PETERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
518 E CLAY AVE, CHEWELAH, WA 99109-8947
(509) 935-8424
Mailing address
PO BOX 808, CHEWELAH, WA 99109-0808
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN60567412
WA
261QF0400X
Federally Qualified Health Center (FQHC)
—
—
363L00000X
Nurse Practitioner
Primary
AP61078503
WA
Other
Enumeration date
05/04/2020
Last updated
04/23/2024
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