Individual
EMINA RIEBOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP-BC
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28200669A
IN
363LA2200X
Adult Health Nurse Practitioner
Primary
50067900
NC
363LA2200X
Adult Health Nurse Practitioner
71003928A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201064040
—
IN
Enumeration date
04/09/2012
Last updated
12/18/2014
Update your record
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