Provider Demographics
NPI:1720617913
Name:BEYERS, ALEXIS JOYCE
Entity type:Individual
Prefix:MS
First Name:ALEXIS
Middle Name:JOYCE
Last Name:BEYERS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2489 TIGER LN
Mailing Address - Street 2:
Mailing Address - City:RICHLAND
Mailing Address - State:WA
Mailing Address - Zip Code:99352-8837
Mailing Address - Country:US
Mailing Address - Phone:509-308-4959
Mailing Address - Fax:
Practice Address - Street 1:500 N MORAIN ST STE 1250
Practice Address - Street 2:
Practice Address - City:KENNEWICK
Practice Address - State:WA
Practice Address - Zip Code:99336-2967
Practice Address - Country:US
Practice Address - Phone:509-783-0500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-08
Last Update Date:2024-09-30
Deactivation Date:2024-09-16
Deactivation Code:
Reactivation Date:2024-09-30
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist