Alexis Maitland
Individual provider Active NPI Case Management Agency · Wilsons, VA
NPI 1962858498 · NPPES record last updated May 13, 2016
Key facts
- NPI
- 1962858498
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Management Agency 251B00000X
- Practice address
- 13000 Butterwood LN
Wilsons, VA 23894-2560 - Phone
- (804) 896-6521
- NPI assigned
- May 13, 2016
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | Yes |
Addresses
Primary practice location
13000 Butterwood LN
Wilsons, VA 23894-2560
Mailing address
13000 Butterwood LN
Wilsons, VA 23894-2560
Other providers in Wilsons, VA
All providers in Wilsons, VA · Case Management Agency in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 13, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.