Provider Demographics
NPI:1629519582
Name:HARGRAVE, ALEXIS (DNP)
Entity Type:Individual
Prefix:
First Name:ALEXIS
Middle Name:
Last Name:HARGRAVE
Suffix:
Gender:F
Credentials:DNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2000 WEST ST
Mailing Address - Street 2:
Mailing Address - City:MUNHALL
Mailing Address - State:PA
Mailing Address - Zip Code:15120-2540
Mailing Address - Country:US
Mailing Address - Phone:412-521-2857
Mailing Address - Fax:412-521-4918
Practice Address - Street 1:2000 WEST ST
Practice Address - Street 2:
Practice Address - City:MUNHALL
Practice Address - State:PA
Practice Address - Zip Code:15120-2540
Practice Address - Country:US
Practice Address - Phone:412-521-2857
Practice Address - Fax:412-521-4918
Is Sole Proprietor?:No
Enumeration Date:2017-03-13
Last Update Date:2023-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP016957363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily