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Individual

MRS. EMILY ELIZABETH SHAVER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-BC

Contact information

Practice address
1155 N 1200 W, MIDDLEBURY, IN 46540-9372
(574) 825-3888
(574) 318-3358
Mailing address
58750 SUN VALLEY BLVD, GOSHEN, IN 46528-7788
(574) 855-6191

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71013001A
IN

Other

Enumeration date
08/31/2022
Last updated
08/31/2022
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