Individual
ELIZABETH ANN EWER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2401 W UNIVERSITY AVE, MUNCIE, IN 47303-3428
(765) 751-1720
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28153079A
IN
363LF0000X
Family Nurse Practitioner
28153079A
IN
363LF0000X
Family Nurse Practitioner
Primary
71010227A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001409405
ANTHEM PTAN
IN
01
—
000001409658
ANTHEM PTAN
IN
05
—
300041051
—
IN
Enumeration date
07/20/2020
Last updated
02/13/2025
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