Individual
EMILY RYAN COLVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1263 HOSPITAL DR NW STE 180, CORYDON, IN 47112-2170
(812) 738-4251
Mailing address
PO BOX 38, CORYDON, IN 47112-0038
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
71011967A
IN
Other
Enumeration date
12/03/2021
Last updated
04/06/2023
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