Provider Demographics
NPI:1154032944
Name:TUERO, ALEXIS (FNP)
Entity type:Individual
Prefix:
First Name:ALEXIS
Middle Name:
Last Name:TUERO
Suffix:
Gender:M
Credentials:FNP
Other - Prefix:
Other - First Name:ALEXIS
Other - Middle Name:
Other - Last Name:TUERO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:FNP
Mailing Address - Street 1:25825 SW 124TH PL
Mailing Address - Street 2:
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33032-7082
Mailing Address - Country:US
Mailing Address - Phone:305-397-6650
Mailing Address - Fax:
Practice Address - Street 1:25825 SW 124TH PL
Practice Address - Street 2:
Practice Address - City:HOMESTEAD
Practice Address - State:FL
Practice Address - Zip Code:33032-7082
Practice Address - Country:US
Practice Address - Phone:305-397-6650
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-12
Last Update Date:2022-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLF10221183363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily