Individual
ALEXA PONTILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
610 PURDUE MALL, WEST LAFAYETTE, IN 47907-2040
(765) 494-4600
Mailing address
610 PURDUE MALL, WEST LAFAYETTE, IN 47907-2040
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11044432
FL
Other
Enumeration date
12/29/2025
Last updated
12/29/2025
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