Individual
ALEXIS BREANNE HARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA STUDENT
Contact information
Practice address
208 UNIVERSITY DR, WEST LIBERTY, WV 26074-1082
(304) 336-5000
Mailing address
2626 PARSONS RD, ELKINS, WV 26241-5161
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
12/12/2025
Last updated
12/12/2025
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