Alcorn, Anita Lynn
Alcorn, Anita Lynn is an individual health care provider with primary practice located at 1500 Provident Dr Ste A , Warsaw IN 46580-3297. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Alcorn, Anita Lynn can be contacted via phone (574) 372-7637.Contact Information
Primary practice address
1500 Provident Dr Ste A
Warsaw IN 46580-3297
Phone: (574) 372-7637
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 28095409A | Indiana |
Profile Details
| NPI number | 1154365880 |
|---|---|
| LBN Legal business name | Alcorn, Anita Lynn |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 15th, 2006 |
| Last updated | Sep 14th, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154365880 | NPPES |
| Indiana | MEDICAID | 200482650 |
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