Yoo, Alexis Nicole

Yoo, Alexis Nicole is an individual health care provider with primary practice located at 15108 Lansbury Ln , Fishers IN 46037-5536. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Yoo, Alexis Nicole can be contacted via phone (219) 808-3680.

Contact Information

Primary practice address
15108 Lansbury Ln Fishers IN 46037-5536
Phone: (219) 808-3680
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 71003737A Indiana

Profile Details

NPI number 1184908717
LBN Legal business name Yoo, Alexis Nicole
Credentials CPNP, RN
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 30th, 2011
Last updated Jun 12th, 2019 - about 7 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 1184908717 NPPES
Indiana MEDICAID 201063660
Indiana Other P01390905

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