Provider Demographics
NPI:1528740123
Name:NYE, ALEXIS M (AUD)
Entity type:Individual
Prefix:DR
First Name:ALEXIS
Middle Name:M
Last Name:NYE
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:125 BICKERSTAFF RD
Mailing Address - Street 2:
Mailing Address - City:CLEMMONS
Mailing Address - State:NC
Mailing Address - Zip Code:27012-9053
Mailing Address - Country:US
Mailing Address - Phone:269-350-0541
Mailing Address - Fax:
Practice Address - Street 1:234 CROOKED CREEK PKWY
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27713-8505
Practice Address - Country:US
Practice Address - Phone:269-350-0541
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-02
Last Update Date:2023-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC30001748231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist