Individual
EMILY M PROVOST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
120 SE 4TH ST, EVANSVILLE, IN 47708-1607
(812) 426-9311
(812) 426-9839
Mailing address
PO BOX 3366, EVANSVILLE, IN 47732-3366
(812) 426-9311
(812) 426-9839
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
28240747A
IN
Other
Enumeration date
07/12/2023
Last updated
07/12/2023
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