Individual
EMILY TEDROW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
5256 E 65TH ST, INDIANAPOLIS, IN 46220-4819
(317) 429-0120
Mailing address
5256 E 65TH ST, INDIANAPOLIS, IN 46220-4819
(317) 429-0120
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
71006825A
IN
Other
Enumeration date
01/28/2017
Last updated
01/28/2017
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