Individual provider · NPI-1

Alexander Michael Bakle, PMH-BC, RN

Registered Nurse · Indianapolis, IN

NPI number1902529498
StatusActive
Last updated in NPPESSep 21, 2022

Details

NPI
1902529498
Entity type
Individual (NPI-1)
Name
Alexander Michael Bakle
Credential
PMH-BC, RN
Sex
Male
Sole proprietor
No
Enumeration date
Sep 21, 2022
Certification date
Sep 21, 2022
Last updated
Sep 21, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163W00000X Registered Nurse28234650AINYes
163WA0400X Registered Nurse, Addiction (Substance Use Disorder)2020130842IN
163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent2020130842IN
163WP0808X Registered Nurse, Psych/Mental Health2020130842IN
163WP0809X Registered Nurse, Psych/Mental Health, Adult2020130842IN

Practice location

7165 Clearvista Way
Indianapolis, IN 46256-4621

Phone 317-621-5100

Mailing address

2643 Addison Meadows Ln
Indianapolis, IN 46203-6725

Phone 765-543-5261

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