Provider Demographics
NPI:1922707249
Name:STOKES, ALEXIS ALAYNE (APRN)
Entity Type:Individual
Prefix:
First Name:ALEXIS
Middle Name:ALAYNE
Last Name:STOKES
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:877 S LILY DR UNIT B207
Mailing Address - Street 2:
Mailing Address - City:FRUIT HEIGHTS
Mailing Address - State:UT
Mailing Address - Zip Code:84037-1976
Mailing Address - Country:US
Mailing Address - Phone:435-820-0904
Mailing Address - Fax:
Practice Address - Street 1:877 S LILY DR UNIT B207
Practice Address - Street 2:
Practice Address - City:FRUIT HEIGHTS
Practice Address - State:UT
Practice Address - Zip Code:84037-1976
Practice Address - Country:US
Practice Address - Phone:435-820-0904
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-24
Last Update Date:2023-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT10421945-4405363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner