Provider Demographics
NPI:1720610322
Name:SHERER, ALEXIS LILLIAN (PA-C)
Entity Type:Individual
Prefix:
First Name:ALEXIS
Middle Name:LILLIAN
Last Name:SHERER
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:655 REDWOOD HWY FRONTAGE RD STE 246
Mailing Address - Street 2:
Mailing Address - City:MILL VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:94941-3055
Mailing Address - Country:US
Mailing Address - Phone:415-301-5000
Mailing Address - Fax:844-719-5148
Practice Address - Street 1:655 REDWOOD HWY FRONTAGE RD STE 246
Practice Address - Street 2:
Practice Address - City:MILL VALLEY
Practice Address - State:CA
Practice Address - Zip Code:94941-3055
Practice Address - Country:US
Practice Address - Phone:415-301-5000
Practice Address - Fax:844-719-5148
Is Sole Proprietor?:No
Enumeration Date:2020-02-11
Last Update Date:2020-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical