Provider Demographics
NPI:1154003119
Name:SKURAS, ALEXIS (DNP, APRN, AGCNS-BC)
Entity type:Individual
Prefix:DR
First Name:ALEXIS
Middle Name:
Last Name:SKURAS
Suffix:
Gender:F
Credentials:DNP, APRN, AGCNS-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7111 DIXIE HWY # 142
Mailing Address - Street 2:
Mailing Address - City:CLARKSTON
Mailing Address - State:MI
Mailing Address - Zip Code:48346-2077
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4706 PRODUCT DR STE 1
Practice Address - Street 2:
Practice Address - City:WIXOM
Practice Address - State:MI
Practice Address - Zip Code:48393-2071
Practice Address - Country:US
Practice Address - Phone:248-567-2334
Practice Address - Fax:734-663-7915
Is Sole Proprietor?:No
Enumeration Date:2023-08-01
Last Update Date:2024-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704348464364SA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SA2200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistAdult Health