Provider Demographics
NPI:1578066395
Name:TURBIN, ALEXIS (PA-C)
Entity Type:Individual
Prefix:MISS
First Name:ALEXIS
Middle Name:
Last Name:TURBIN
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8001 ROOSEVELT BLVD STE 307
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19152-3039
Mailing Address - Country:US
Mailing Address - Phone:267-731-1333
Mailing Address - Fax:215-456-2386
Practice Address - Street 1:8001 ROOSEVELT BLVD STE 307
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19152
Practice Address - Country:US
Practice Address - Phone:267-731-1333
Practice Address - Fax:302-407-0334
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-18
Last Update Date:2019-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOA004402363A00000X
PAMA059647363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant