Alcala, Audrey R

Alcala, Audrey R is an individual health care provider with primary practice located at 1515 S 19Th St , Elwood IN 46036-2941. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Alcala, Audrey R can be contacted via phone (765) 298-2800.

Contact Information

Primary practice address
1515 S 19Th St Elwood IN 46036-2941
Phone: (765) 298-2800
Fax: (765) 298-2820
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71003418A Indiana

Profile Details

NPI number 1508176892
LBN Legal business name Alcala, Audrey R
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2010
Last updated Nov 27th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508176892 NPPES
Indiana MEDICAID 200999630
Indiana Other P01213055

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