Individual
EMILY PEAT ASHBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1111 RONALD REAGAN PKWY STE 141, AVON, IN 46123-7085
(317) 217-2300
(317) 217-2301
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
728960
NY
363LF0000X
Family Nurse Practitioner
Primary
71009950A
IN
363LF0000X
Family Nurse Practitioner
F345528-01
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001461148
ANTHEM PTAN
IN
01
—
063220058
MEDICARE PTAN
IN
01
—
264430A81
MEDICARE PTAN
IN
05
—
300039024
—
IN
01
—
Q00242385
RAILROAD PTAN
IN
01
—
Q00275183
RAILROAD PTAN
IN
Enumeration date
02/18/2020
Last updated
09/30/2024
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