Individual
EMILY LAUREN GROVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14645 HAZEL DELL RD STE 100, NOBLESVILLE, IN 46062-7067
(317) 678-4300
Mailing address
250 N SHADELAND AVE STE 200, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28256960A
IN
363L00000X
Nurse Practitioner
24467
TN
Other
Enumeration date
08/29/2018
Last updated
02/08/2021
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