Individual
EMILY RAYNE HARTNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-BC
Contact information
Practice address
610 E SOUTHPORT RD STE 205, INDIANAPOLIS, IN 46227-8592
(317) 781-7370
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
28252206A
IN
363LF0000X
Family Nurse Practitioner
Primary
71013382A
IN
Other
Enumeration date
01/09/2023
Last updated
02/13/2023
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