Healthcare Provider Details

I. General information

NPI: 1871184812
Provider Name (Legal Business Name): CASSIE ELIZABETH ALOV NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/02/2021
Last Update Date: 11/24/2025
Certification Date: 11/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11591 OLIO RD
FISHERS IN
46037-7613
US

IV. Provider business mailing address

11591 OLIO RD
FISHERS IN
46037-7613
US

V. Phone/Fax

Practice location:
  • Phone: 317-585-2702
  • Fax:
Mailing address:
  • Phone: 317-585-2702
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number28194986A
License Number StateIN
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number71010980A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: