Alicia D Wettrick, FNP
Nurse Practitioner, Family in Indianapolis, IN. Individual provider (NPI-1).
NPI number1285649913
StatusActive
Last updated in NPPESNov 27, 2023
Details
- NPI
- 1285649913
- Entity type
- Individual (NPI-1)
- Name
- Alicia D Wettrick
- Credential
- FNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 30, 2006
- Certification date
- Oct 20, 2020
- Last updated
- Nov 27, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 71002033A | IN | Yes |
Other names
- Alicia D Mosher (Former Name)
Practice location
7120 Clearvista DrSuite 4000
Indianapolis, IN 46256-1621
Phone 317-621-7444 · Fax 317-621-3150
Mailing address
6626 E 75th StSuite 500
Indianapolis, IN 46250-2805
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