Individual
EMILIE JEAN MARIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
720 ESKENAZI AVE, INDIANAPOLIS, IN 46202-5187
(317) 880-0000
Mailing address
720 ESKENAZI AVE, INDIANAPOLIS, IN 46202-5187
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
.
IN
363LG0600X
Gerontology Nurse Practitioner
Primary
71012984A
IN
Other
Enumeration date
08/05/2022
Last updated
05/08/2024
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