Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Alexis Marie Wilson

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1376330480

Alexis Marie Wilson is a Student in an Organized Health Care Education/Training Program in Huntington, New York. Practices as a sole proprietor. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

790 Park Ave
Huntington, NY 11743-4516
Phone: (843) 450-5591
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1376330480
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 22, 2025
Last updated in NPPESMay 15, 2025
Certification dateMay 15, 2025

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