Individual
TRACEY W ALPHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2301 N MERIDIAN ST, INDIANAPOLIS, IN 46208-5729
(317) 847-4366
(833) 464-4582
Mailing address
7920 DARTMOUTH RD, INDIANAPOLIS, IN 46260-2819
(239) 246-7711
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10001366A
IN
Other
Enumeration date
12/19/2011
Last updated
01/28/2025
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