Provider Demographics
NPI:1982333191
Name:FOSTER-HORTON, ALEXIS M (APRN)
Entity Type:Individual
Prefix:
First Name:ALEXIS
Middle Name:M
Last Name:FOSTER-HORTON
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 1:9964 COUNTRYSIDE RD
Mailing Address - Street 2:
Mailing Address - City:LENEXA
Mailing Address - State:KS
Mailing Address - Zip Code:66215-1733
Mailing Address - Country:US
Mailing Address - Phone:913-314-0843
Mailing Address - Fax:
Practice Address - Street 1:9964 COUNTRYSIDE RD
Practice Address - Street 2:
Practice Address - City:LENEXA
Practice Address - State:KS
Practice Address - Zip Code:66215-1733
Practice Address - Country:US
Practice Address - Phone:913-314-0843
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-06
Last Update Date:2022-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2022017352363L00000X
KS53-81181-012363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner