Provider Demographics
NPI:1043088065
Name:KARAGIANIS, ALEXIS JULIET (APRN)
Entity Type:Individual
Prefix:
First Name:ALEXIS
Middle Name:JULIET
Last Name:KARAGIANIS
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2924 KENSINGTON TRCE
Mailing Address - Street 2:
Mailing Address - City:TARPON SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:34688-8455
Mailing Address - Country:US
Mailing Address - Phone:727-698-2678
Mailing Address - Fax:
Practice Address - Street 1:37026 US HIGHWAY 19 N
Practice Address - Street 2:
Practice Address - City:PALM HARBOR
Practice Address - State:FL
Practice Address - Zip Code:34684-1109
Practice Address - Country:US
Practice Address - Phone:727-938-1935
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-19
Last Update Date:2023-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11030161363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily