Individual
MS. ALEXA CHRISTINE SMITH-ELLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CNM, WHNP
Contact information
Practice address
2400 NE NEFF RD STE A, BEND, OR 97701-6752
(541) 389-3300
(541) 389-8115
Mailing address
2400 NE NEFF RD STE A, BEND, OR 97701-6752
(541) 389-3300
(541) 389-8115
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
95002125
CA
367A00000X
Advanced Practice Midwife
Primary
235726
CA
Other
Enumeration date
03/11/2015
Last updated
05/18/2023
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