Individual provider · Type 1 NPI

Alexis Breanne Hare, PA STUDENT

Student in an Organized Health Care Education/Training Program · West Liberty, WV

NPI number 1831053818 Active

Practice location

208 University Dr
West Liberty, WV 26074-1082

Mailing address

2626 Parsons Rd
Elkins, WV 26241-5161

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1831053818

Alexis Breanne Hare, PA STUDENT's National Provider Identifier is 1831053818, issued on Dec 12, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in West Liberty, WV. The record was last updated on Dec 12, 2025.