MEDICARE: ALISIA C CHRISTIAN PA-C

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	363AM0700X	Medical Physician Assistant	10002049A	IN

General Provider Information

NPI Number	:	1962854869
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALISIA C CHRISTIAN PA-C

Provider Business Mailing Address
First Line	:	395 WESTFIELD RD
Second Line	:
City	:	NOBLESVILLE
State	:	IN
Zip	:	46060-1425
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	395 WESTFIELD RD
Second Line	:
City	:	NOBLESVILLE
State	:	IN
Zip	:	46060-1425
Country	:	US
Telephone Number	:	317-776-7250
Fax Number	:

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

Provider Enumeration Date	:	07/05/2016
Last Update Date	:	02/16/2026

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