Individual
EMERSON DEVORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2485 DIRECTORS ROW STE D, INDIANAPOLIS, IN 46241-4907
(317) 941-7338
Mailing address
2485 DIRECTORS ROW STE D, INDIANAPOLIS, IN 46241-4907
(317) 941-7338
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
28234023A
IN
363LG0600X
Gerontology Nurse Practitioner
Primary
71014474A
IN
Other
Enumeration date
08/25/2022
Last updated
10/17/2023
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