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Individual
MRS. SYDNEY ELIZABETH EHMKE
Active
Individual
MRS. SYDNEY ELIZABETH EHMKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71000027A
IN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
71000027
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000612074
ANTHEM
IN
05
—
100373660
—
IN
Enumeration date
09/09/2005
Last updated
04/02/2024
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