Individual
EMILY R MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11050 PARKVIEW CIRCLE DR, FORT WAYNE, IN 46845-1739
(833) 724-8326
(260) 425-6845
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28222928A
IN
207RX0202X
Medical Oncology Physician
71007390A
IN
363LF0000X
Family Nurse Practitioner
Primary
71007390A
IN
Other
Enumeration date
07/13/2017
Last updated
08/15/2023
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