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Individual

MS. NATALIE ANN EMMERT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
211 N EDDY ST, SOUTH BEND, IN 46617-2808
(574) 204-7200
Mailing address
1802 DAY RD, MISHAWAKA, IN 46545-4329
(574) 204-7200
(574) 252-0633

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
28162258A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201250030
IN
Enumeration date
02/13/2014
Last updated
04/22/2025
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