Individual
ALEXANDRA SANSERINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
9894 E 121ST ST, FISHERS, IN 46037-4154
(317) 621-2273
(317) 806-1653
Mailing address
6626 E 75TH ST STE 500, INDIANAPOLIS, IN 46250-2890
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71006497A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201395490
—
IN
01
—
266180H69
MEDICARE
IN
01
—
Q00237621
MEDICARE RAILROAD
IN
Enumeration date
08/26/2016
Last updated
01/12/2023
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