Provider Demographics
NPI:1346929247
Name:VIRAY-EDWARDS, ALEXIS NERIAH (APRN, FNP-C)
Entity type:Individual
Prefix:
First Name:ALEXIS
Middle Name:NERIAH
Last Name:VIRAY-EDWARDS
Suffix:
Gender:
Credentials:APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 35232
Mailing Address - Street 2:ATTN: CREDENTIALING
Mailing Address - City:BELFAST
Mailing Address - State:ME
Mailing Address - Zip Code:04915-0630
Mailing Address - Country:US
Mailing Address - Phone:817-375-5200
Mailing Address - Fax:817-299-1789
Practice Address - Street 1:2716 TRAVIS STREET
Practice Address - Street 2:
Practice Address - City:DESOTO
Practice Address - State:TX
Practice Address - Zip Code:75115-2089
Practice Address - Country:US
Practice Address - Phone:817-375-5200
Practice Address - Fax:817-299-1789
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-17
Last Update Date:2025-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF04230207207RR0500X
TX1121313363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Single Specialty