Individual provider · NPI-1

Alexandra Alderdice, PA-C

Physician Assistant · Indianapolis, IN

NPI number1235922956
StatusActive
Last updated in NPPESSep 17, 2025

Details

NPI
1235922956
Entity type
Individual (NPI-1)
Name
Alexandra Alderdice
Credential
PA-C
Sex
Female
Sole proprietor
No
Enumeration date
May 26, 2025
Certification date
Sep 17, 2025
Last updated
Sep 17, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant10005016AINYes
390200000X Student in an Organized Health Care Education/Training Program––

Practice location

901 W New York St
Indianapolis, IN 46202-5224

Phone 317-274-7447

Mailing address

1024 W Rudisill Blvd
Fort Wayne, IN 46807-2141

Phone 260-240-0179

Other practice locations

1701 N Senate Blvd Ste C6
Indianapolis, IN 46202-1239

Phone 317-962-2000

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