Doctor Name: | MS. NATALIE ANN EMMERT |
NPI Number: | 1285058081 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 28162258A |
Business Practice Address: | 16323 Rootstock Ct Granger, IN - 465309530 |
Business Phone Number: | 5743102525 |
Business Fax Number: | |
Mailing Address: | 16323 Rootstock Ct, GRANGER |
State: | IN |
Postal Code: | 465309530 |
Phone Number: | 5743102525 |
Fax Number: | |
NPI Enumeration Date: | 02/13/2014 |
NPI Last Update Date: | 02/13/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 28162258A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |