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Individual

ALYSSA BARR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
8091 TOWNSHIP LINE RD STE 206, INDIANAPOLIS, IN 46260-2495
(317) 415-1000
(317) 415-1010
Mailing address
8091 TOWNSHIP LINE RD STE 206, INDIANAPOLIS, IN 46260-2495
(317) 415-1000
(317) 415-1010

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28164399A
IN
363LF0000X
Family Nurse Practitioner
Primary
71006313A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201364770
IN
Enumeration date
02/25/2016
Last updated
05/04/2022
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