Provider Demographics
NPI:1497439384
Name:ARTHUR, ALEXIS DANYALE
Entity Type:Individual
Prefix:MISS
First Name:ALEXIS
Middle Name:DANYALE
Last Name:ARTHUR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:114196 S 4730 RD
Mailing Address - Street 2:
Mailing Address - City:MULDROW
Mailing Address - State:OK
Mailing Address - Zip Code:74948-5889
Mailing Address - Country:US
Mailing Address - Phone:918-315-5284
Mailing Address - Fax:
Practice Address - Street 1:114196 S 4730 RD
Practice Address - Street 2:
Practice Address - City:MULDROW
Practice Address - State:OK
Practice Address - Zip Code:74948-5889
Practice Address - Country:US
Practice Address - Phone:918-315-5284
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-12
Last Update Date:2023-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health