Provider Demographics
NPI:1093932758
Name:KLAPPROTH, ALEXIS M (RN, MSN, CWS)
Entity Type:Individual
Prefix:
First Name:ALEXIS
Middle Name:M
Last Name:KLAPPROTH
Suffix:
Gender:F
Credentials:RN, MSN, CWS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1523
Mailing Address - Street 2:
Mailing Address - City:SEWARD
Mailing Address - State:AK
Mailing Address - Zip Code:99664-1523
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:417 1ST AVE
Practice Address - Street 2:
Practice Address - City:SEWARD
Practice Address - State:AK
Practice Address - Zip Code:99664-0365
Practice Address - Country:US
Practice Address - Phone:907-224-2800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK10743163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
AKHH2487Medicaid
AKNA2487Medicaid
AK1912011842OtherAGENCY NPI NUMBER
AKPCG214Medicaid
AK027030Medicare ID - Type Unspecified