Provider Demographics
NPI:1891183646
Name:FAUST, ALEXIS (RN, BS, CEN, NREMT-P)
Entity Type:Individual
Prefix:MS
First Name:ALEXIS
Middle Name:
Last Name:FAUST
Suffix:
Gender:F
Credentials:RN, BS, CEN, NREMT-P
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30952 SANDY RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:LEWES
Mailing Address - State:DE
Mailing Address - Zip Code:19958-5587
Mailing Address - Country:US
Mailing Address - Phone:419-366-3796
Mailing Address - Fax:
Practice Address - Street 1:30952 SANDY RIDGE DR
Practice Address - Street 2:
Practice Address - City:LEWES
Practice Address - State:DE
Practice Address - Zip Code:19958-5587
Practice Address - Country:US
Practice Address - Phone:419-366-3796
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-02
Last Update Date:2015-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEL1-0039690163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse