Provider Demographics
NPI:1699589622
Name:ROMANINI, ALEXIS LEE (RN)
Entity type:Individual
Prefix:
First Name:ALEXIS
Middle Name:LEE
Last Name:ROMANINI
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:702 N EVANS ST
Mailing Address - Street 2:
Mailing Address - City:SHEBOYGAN
Mailing Address - State:WI
Mailing Address - Zip Code:53081-3746
Mailing Address - Country:US
Mailing Address - Phone:920-447-2170
Mailing Address - Fax:
Practice Address - Street 1:702 N EVANS ST
Practice Address - Street 2:
Practice Address - City:SHEBOYGAN
Practice Address - State:WI
Practice Address - Zip Code:53081-3746
Practice Address - Country:US
Practice Address - Phone:920-447-2170
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-31
Last Update Date:2025-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI253975-30163WG0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice