Individual
ALEXANDRA CARRICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1426 BROAD RIPPLE AVENUE, SUITE 200, INDIANAPOLIS, IN 46220
(317) 621-3680
Mailing address
9703 FORTUNE DR, FISHERS, IN 46037-9047
(317) 677-3558
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
10004182A
IN
363A00000X
Physician Assistant
Primary
10004182A
IN
Other
Enumeration date
11/06/2023
Last updated
11/07/2023
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