Provider Demographics
NPI:1699668780
Name:SERES, ALEXIS (RN, BSN, CCRN)
Entity type:Individual
Prefix:
First Name:ALEXIS
Middle Name:
Last Name:SERES
Suffix:
Gender:F
Credentials:RN, BSN, CCRN
Other - Prefix:
Other - First Name:ALEXIS
Other - Middle Name:
Other - Last Name:LOVIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN, BSN, CCRN
Mailing Address - Street 1:10101 VILLAGIO PALMS WAY
Mailing Address - Street 2:UNIT 208
Mailing Address - City:ESTERO
Mailing Address - State:FL
Mailing Address - Zip Code:33928
Mailing Address - Country:US
Mailing Address - Phone:925-336-6832
Mailing Address - Fax:
Practice Address - Street 1:10101 VILLAGIO PALMS WAY
Practice Address - Street 2:UNIT 208
Practice Address - City:ESTERO
Practice Address - State:FL
Practice Address - Zip Code:33928
Practice Address - Country:US
Practice Address - Phone:925-336-6832
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-29
Last Update Date:2025-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9604390163WC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine