Provider Demographics
NPI:1225634389
Name:PAVEY, ALEXIS MAY (FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:ALEXIS
Middle Name:MAY
Last Name:PAVEY
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:MISS
Other - First Name:ALEXIS
Other - Middle Name:MAY
Other - Last Name:CARSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1900 SUNRISE DR STE 200
Mailing Address - Street 2:
Mailing Address - City:SAINT PETER
Mailing Address - State:MN
Mailing Address - Zip Code:56082-5385
Mailing Address - Country:US
Mailing Address - Phone:507-931-2110
Mailing Address - Fax:
Practice Address - Street 1:1900 SUNRISE DR STE 200
Practice Address - Street 2:
Practice Address - City:SAINT PETER
Practice Address - State:MN
Practice Address - Zip Code:56082-5385
Practice Address - Country:US
Practice Address - Phone:507-931-2110
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-04
Last Update Date:2023-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN7913363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily