Individual
ALEXA DEROO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1030 W MICHIGAN ST, INDIANAPOLIS, IN 46202-5201
(317) 948-3108
Mailing address
5125 CRITTENDEN AVE, INDIANAPOLIS, IN 46205-1360
(317) 506-0877
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28229992A
IN
Other
Enumeration date
10/02/2025
Last updated
10/02/2025
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