Individual
ROBERT EALY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
2120 N SECTION ST, SULLIVAN, IN 47882-7518
(812) 268-2556
Mailing address
PO BOX 10, SULLIVAN, IN 47882-0010
(812) 268-4311
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71010957A
IN
Other
Enumeration date
03/18/2021
Last updated
02/02/2026
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