Midtzar Alexis

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Indianapolis, IN

NPI 1548078181 · NPPES record last updated Dec 30, 2024

Key facts

NPI
1548078181
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
340 W 10TH St Ste 6200
Indianapolis, IN 46202-3082
Phone
(317) 274-8157
NPI assigned
Dec 30, 2024
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

340 W 10TH St Ste 6200
Indianapolis, IN 46202-3082

Mailing address

340 W 10TH St Ste 6200
Indianapolis, IN 46202-3082
Phone (317) 274-8157

Other providers in Indianapolis, IN

All providers in Indianapolis, IN · Student in an Organized Health Care Education/Training Program in Indiana

Sources for this page

Verify at the official NPI Registry.