Provider Demographics
NPI:1811789001
Name:ALEXIS, NTETURUYE
Entity type:Individual
Prefix:
First Name:NTETURUYE
Middle Name:
Last Name:ALEXIS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 EAGLEVIEW DR
Mailing Address - Street 2:
Mailing Address - City:EAGLEVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37060-2503
Mailing Address - Country:US
Mailing Address - Phone:615-240-6075
Mailing Address - Fax:
Practice Address - Street 1:601 EAGLEVIEW DR
Practice Address - Street 2:
Practice Address - City:EAGLEVILLE
Practice Address - State:TN
Practice Address - Zip Code:37060-2503
Practice Address - Country:US
Practice Address - Phone:615-240-6075
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-21
Last Update Date:2025-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)