Individual
ALEXCIS DAVID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
699 BURROUGHS ST, MORGANTOWN, WV 26505-3346
(412) 655-4362
Mailing address
699 BURROUGHS ST, MORGANTOWN, WV 26505-3346
(412) 655-4362
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
115728
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
115728
STATE LICENSE
WV
Enumeration date
02/28/2023
Last updated
02/28/2023
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