Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | 28223865A | IN |
NPI | 1003570979 |
---|---|
Provider Name | Emily Christine York |
First Address | Evansville, IN 47706-1510 |
Second Address | Newburgh, IN 47630-7451 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/10/2021 |
Last Update Date | 27/10/2021 |