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Individual

ERIC EMERY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
441 N WABASH AVE, MARION, IN 46952-2612
(765) 662-6000
Mailing address
330 N WABASH, MARION, IN 46952-2600
(765) 660-7616
(765) 651-7313

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
28208817A
IN
363LF0000X
Family Nurse Practitioner
28208817A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000001027356
ANTHEM
IN
05
201382260
IN
Enumeration date
05/10/2016
Last updated
10/20/2020
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