Healthcare Provider Details

I. General information

NPI: 1548857972
Provider Name (Legal Business Name): ALEKSANDRA JOSEVSKA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/31/2020
Last Update Date: 02/03/2021
Certification Date: 02/03/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2241 45TH ST
HIGHLAND IN
46322-2601
US

IV. Provider business mailing address

2241 45TH ST
HIGHLAND IN
46322-2601
US

V. Phone/Fax

Practice location:
  • Phone: 219-922-8051
  • Fax:
Mailing address:
  • Phone: 219-922-8051
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number28167392A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: