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NPI Code Detail

MEDICARE: ALYSSA MARIE TAPY

MEDICARE: ALYSSA MARIE TAPY
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1235704339
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALYSSA MARIE TAPY
Provider Business Mailing Address
First Line : 6568 E ROSEBUD LN
Second Line :
City : MOORESVILLE
State : IN
Zip : 46158-6354
Country : US
Telephone Number : 317-847-7718
Fax Number :
Provider Business Practice Location Address
First Line : 1400 E HANNA AVE
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46227-3697
Country : US
Telephone Number : 317-847-7718
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/21/2021
Last Update Date : 05/21/2021

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Directions to “ ALYSSA MARIE TAPY ” Practice Location

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