Provider Demographics
NPI:1972784403
Name:SPRINGER, ALEXIS SHARON (RN, CDE)
Entity Type:Individual
Prefix:
First Name:ALEXIS
Middle Name:SHARON
Last Name:SPRINGER
Suffix:
Gender:F
Credentials:RN, CDE
Other - Prefix:
Other - First Name:ALEXIS
Other - Middle Name:SHARON
Other - Last Name:BUDLONG-SPRINGER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RN, CDE
Mailing Address - Street 1:3 CARTIER CT
Mailing Address - Street 2:
Mailing Address - City:EAST GREENWICH
Mailing Address - State:RI
Mailing Address - Zip Code:02818-1557
Mailing Address - Country:US
Mailing Address - Phone:401-556-3319
Mailing Address - Fax:
Practice Address - Street 1:3 CARTIER CT
Practice Address - Street 2:
Practice Address - City:EAST GREENWICH
Practice Address - State:RI
Practice Address - Zip Code:02818-1557
Practice Address - Country:US
Practice Address - Phone:401-556-3319
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-27
Last Update Date:2007-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIRI 22744163WC1600X, 163WD0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WD0400XNursing Service ProvidersRegistered NurseDiabetes Educator
No163WC1600XNursing Service ProvidersRegistered NurseContinuing Education/Staff Development
Provider Identifiers
StateIdentifier IDID TypeIssuer
RIRI 22744OtherRN LICENSE