Amanda Rae Alexis, CPNP-PC
Nurse Practitioner, Pediatrics in Fargo, ND. Individual provider (NPI-1).
NPI number1538689294
StatusActive
Last updated in NPPESOct 11, 2026
Details
- NPI
- 1538689294
- Entity type
- Individual (NPI-1)
- Name
- Amanda Rae Alexis
- Credential
- CPNP-PC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 23, 2017
- Certification date
- Oct 11, 2026
- Last updated
- Oct 11, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0200X | Nurse Practitioner, Pediatrics | R44908 | ND | Yes |
| 163W00000X | Registered Nurse | R44903 | ND |
Practice location
5225 23rd Ave SFargo, ND 58104-7927
Phone 701-234-2000
Mailing address
Po Box 5074Sioux Falls, SD 57117-5074
Other practice locations
801 Broadway N
Fargo, ND 58102-3641
Fargo, ND 58102-3641
Phone 701-234-2000
300 W Century Ave Ste B
Bismarck, ND 58503-4900
Bismarck, ND 58503-4900
Phone 701-663-5373 · Fax 701-663-8556
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