Provider Demographics
NPI:1235788738
Name:GRIEVES, ALEXIS ELIZABETH (DNP, APRN, PMHNP-BC)
Entity Type:Individual
Prefix:
First Name:ALEXIS
Middle Name:ELIZABETH
Last Name:GRIEVES
Suffix:
Gender:F
Credentials:DNP, APRN, PMHNP-BC
Other - Prefix:
Other - First Name:ALEXIS
Other - Middle Name:ELIZABETH
Other - Last Name:GOOD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN, BSN, PMH-BC
Mailing Address - Street 1:2239 N SCHOOL ST
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96819-2539
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2239 N SCHOOL ST
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96819-5605
Practice Address - Country:US
Practice Address - Phone:808-791-9400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-06
Last Update Date:2023-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNR-236938-3163W00000X
HIAPRN-3734-0363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
HIRN-107616-0OtherHAWAII BOARD OF NURSING - RN LICENSE
WI263352OtherWISCONSIN BOARD OF NURSING - RN LICENSE
HIAPRN-3734-0OtherHAWAII BOARD OF NURSING - APRN LICENSE
MNR-236938-3OtherMINNESOTA BOARD OF NURSING
MN9862OtherMINNESOTA BOARD OF NURSING - APRN LICENSE