Individual
EMILEE TEHRANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C, RN
Contact information
Practice address
621 MEMORIAL DR STE 512, SOUTH BEND, IN 46601-1075
(574) 246-9350
Mailing address
621 MEMORIAL DRIVE, 512, SOUTH BEND, IN 46601
(574) 246-9350
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71007235A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300068900
—
IN
Enumeration date
06/05/2017
Last updated
02/24/2023
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