Individual
LAURA MAE EMERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2100 N MAIN ST # 304, CROWN POINT, IN 46307-1877
(574) 546-1900
(574) 546-1999
Mailing address
2400 SAGAMORE PKWY S, LAFAYETTE, IN 47905-5116
(765) 772-4086
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2019012949
IN
363LF0000X
Family Nurse Practitioner
Primary
71009241A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1102226099
ANTHEM PTAN
IN
05
—
300029897
—
IN
Enumeration date
06/21/2019
Last updated
08/05/2025
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