Individual
MRS. EMILY ANNE STULTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
7440 WOODLAND DR, INDIANAPOLIS, IN 46278-1720
(574) 320-1483
Mailing address
24812 COUNTY ROAD 4, ELKHART, IN 46514-9387
(574) 320-1483
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71002789A
IN
363LF0000X
Family Nurse Practitioner
28154517A
IN
363LF0000X
Family Nurse Practitioner
71002789A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F0908063
NURSE PRACTITIONER CERTIFICATION NUMBER
IN
Enumeration date
10/22/2008
Last updated
01/23/2024
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