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1720418080

NPI Code Detail

MEDICARE: MRS. ALEXIS ANN MANRING FNP

MEDICARE: MRS. ALEXIS ANN MANRING FNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP2300X	Primary Care Nurse Practitioner	28171978A	IN
2	363LA2100X	Acute Care Nurse Practitioner	28171978A	IN
3	363LF0000X	Family Nurse Practitioner	28171978A	IN
4	363LC1500X	Community Health Nurse Practitioner	28171978A	IN
5	363L00000X	Nurse Practitioner	71004730A	IN

General Provider Information

NPI Number	:	1720418080
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ALEXIS ANN MANRING FNP

Provider Business Mailing Address
First Line	:	6626 E 75TH ST STE 500
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46250-2890
Country	:	US
Telephone Number	:	317-621-7547
Fax Number	:

Provider Business Practice Location Address
First Line	:	1500 N RITTER AVE
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46219-3027
Country	:	US
Telephone Number	:	317-621-4900
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/22/2013
Last Update Date	:	01/06/2026

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Directions to “ MRS. ALEXIS ANN MANRING FNP” Practice Location

Language	Start Address	Practice Location

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