Provider Demographics
NPI:1194469916
Name:MCCROSSIN, ALEXIS M (FNPC)
Entity Type:Individual
Prefix:
First Name:ALEXIS
Middle Name:M
Last Name:MCCROSSIN
Suffix:
Gender:F
Credentials:FNPC
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:13 INDUSTRIAL PARK RD
Mailing Address - Street 2:
Mailing Address - City:SACO
Mailing Address - State:ME
Mailing Address - Zip Code:04072-1804
Mailing Address - Country:US
Mailing Address - Phone:207-283-8800
Mailing Address - Fax:207-294-3561
Practice Address - Street 1:13 INDUSTRIAL PARK RD
Practice Address - Street 2:
Practice Address - City:SACO
Practice Address - State:ME
Practice Address - Zip Code:04072-1804
Practice Address - Country:US
Practice Address - Phone:207-283-8800
Practice Address - Fax:207-294-3561
Is Sole Proprietor?:No
Enumeration Date:2022-04-27
Last Update Date:2023-07-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MECNP221333363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner