Individual
ALEXIS RENAE HODUPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
115 W MAIN ST, GREENTOWN, IN 46936-1116
(765) 627-4003
Mailing address
115 W MAIN ST, GREENTOWN, IN 46936-1116
(765) 627-4003
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
71014016A
IN
Other
Enumeration date
10/30/2023
Last updated
10/30/2023
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