Provider Demographics
NPI:1881273670
Name:WALKER, ALEXSIS S
Entity type:Individual
Prefix:
First Name:ALEXSIS
Middle Name:S
Last Name:WALKER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26433 SOLON RD APT 116
Mailing Address - Street 2:
Mailing Address - City:OAKWOOD VILLAGE
Mailing Address - State:OH
Mailing Address - Zip Code:44146-4700
Mailing Address - Country:US
Mailing Address - Phone:330-990-0777
Mailing Address - Fax:
Practice Address - Street 1:26433 SOLON RD APT 116
Practice Address - Street 2:
Practice Address - City:OAKWOOD VILLAGE
Practice Address - State:OH
Practice Address - Zip Code:44146-4700
Practice Address - Country:US
Practice Address - Phone:330-990-0777
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-07
Last Update Date:2021-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide