Wellformed AI

NPI 1124334685 · live from the CMS NPI Registry

Alexis Cristine Chardavoyne, PNP-BC

Nurse Practitioner, Pediatrics in Aurora, CO. National Provider Identifier 1124334685, active.

NPI record

NPI1124334685 Type 1 · individual
StatusActive
Primary specialtyNurse Practitioner, Pediatrics 363LP0200X
Practice location13123 E 16th Ave # B140, Aurora, CO 80045
Practice phone720-777-6895
EnumeratedAugust 23, 2010
Last updatedOctober 31, 2013
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Nurse Practitioner, Pediatrics primary363LP0200X175782 (CO)
Nurse Practitioner, Pediatrics363LP0200X004625 (CT)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.