Individual
MRS. AMY SUE EMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
7250 CLEARVISTA DR, STE 100, INDIANAPOLIS, IN 46256-4692
(317) 621-7771
Mailing address
6626 E 75TH ST, STE 500, INDIANAPOLIS, IN 46250-2805
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71002309A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201062910
—
IN
05
—
201098410
—
IN
01
—
251K00000X
PUBLIC HEALTH
IN
01
—
71002309A
IN NP LICENSE
IN
01
—
P01588229
RR MEDICARE
IN
Enumeration date
06/13/2008
Last updated
11/27/2023
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