Individual
EMILY ANN FUSIEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN, RN
Contact information
Practice address
2600 FERRY ST, LAFAYETTE, IN 47904-3055
(765) 448-8000
Mailing address
1200 W WHITE RIVER BLVD, MUNCIE, IN 47303-4988
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28223894A
IN
208000000X
Pediatrics Physician
Primary
71010397A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300043065
—
IN
Enumeration date
10/15/2019
Last updated
12/03/2020
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