Doctor Name: | MS. ALEXIS MAE PUNCHES |
NPI Number: | 1003274283 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | 4704239782 |
Business Practice Address: | 1500 East Medical Center Dr 12th Floor C.s. Mott Childrens Hospital Rm 525 Ann Arbor, MI - 481094280 |
Business Phone Number: | 7347645302 |
Business Fax Number: | |
Mailing Address: | 3621 South State Street, 700 Kms Place ANN ARBOR |
State: | MI |
Postal Code: | 48108 |
Phone Number: | 7349362047 |
Fax Number: | |
NPI Enumeration Date: | 02/03/2016 |
NPI Last Update Date: | 05/31/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LC0200X |
License Number: | 4704239782 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Critical Care Medicine |
Taxonomy Definition: |