Provider Demographics
NPI:1669224259
Name:KARRELS, ALEXIS (RN BSN)
Entity type:Individual
Prefix:
First Name:ALEXIS
Middle Name:
Last Name:KARRELS
Suffix:
Gender:F
Credentials:RN BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4880 N MOHAWK AVE LOWR
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:WI
Mailing Address - Zip Code:53217-5426
Mailing Address - Country:US
Mailing Address - Phone:262-470-6253
Mailing Address - Fax:
Practice Address - Street 1:4880 N MOHAWK AVE LOWR
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:WI
Practice Address - Zip Code:53217-5426
Practice Address - Country:US
Practice Address - Phone:262-470-6253
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-04
Last Update Date:2024-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI1086220163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health