Individual
ALEXIS ANN MCENTIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CGC
Contact information
Practice address
1002 WISHARD BLVD STE 1100, INDIANAPOLIS, IN 46202-2872
(317) 944-2801
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
74000349A
IN
170300000X
Genetic Counselor (M.S.)
99099425A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300040819
—
IN
Enumeration date
07/22/2020
Last updated
06/21/2022
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