Individual
EMILY L DOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
550 UNIVERSITY BLVD, INDIANAPOLIS, IN 46202-5149
(317) 944-0920
(317) 963-5446
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
28167119A
IN
363LA2100X
Acute Care Nurse Practitioner
Primary
71004074A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201250410
—
IN
Enumeration date
04/11/2012
Last updated
01/25/2021
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