Individual
MRS. EMILY CLAIRE BURT CASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
7979 N SHADELAND AVE, INDIANAPOLIS, IN 46250-2042
(317) 621-4333
Mailing address
6626 E 75TH ST STE 500, INDIANAPOLIS, IN 46250-2890
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28241678A
IN
363LG0600X
Gerontology Nurse Practitioner
Primary
71014052A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300077572
—
IN
Enumeration date
01/17/2023
Last updated
07/17/2023
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