Provider Demographics
NPI:1851043715
Name:ELUERE, ALICIA (MSN, APRN, FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:ALICIA
Middle Name:
Last Name:ELUERE
Suffix:
Gender:F
Credentials:MSN, APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12595 COLD STREAM RD
Mailing Address - Street 2:
Mailing Address - City:NOBLESVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46060-4763
Mailing Address - Country:US
Mailing Address - Phone:463-210-5026
Mailing Address - Fax:
Practice Address - Street 1:8500 KEYSTONE XING STE 200
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46240-2458
Practice Address - Country:US
Practice Address - Phone:317-708-4665
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-21
Last Update Date:2022-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN28231107A363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily