Provider Demographics
NPI:1174157655
Name:FLORVEUS, ALEXIA (RN)
Entity type:Individual
Prefix:MS
First Name:ALEXIA
Middle Name:
Last Name:FLORVEUS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1426 LORING AVE APT 38C
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11208-5144
Mailing Address - Country:US
Mailing Address - Phone:347-564-9986
Mailing Address - Fax:
Practice Address - Street 1:111 E 125TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10035-1620
Practice Address - Country:US
Practice Address - Phone:917-793-1300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-02-24
Last Update Date:2020-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY765477-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse