Healthcare Provider Details

I. General information

NPI: 1407541972
Provider Name (Legal Business Name): EMILY NICOLE CURRENT DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/10/2023
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 HOSPITAL LN STE 200
DANVILLE IN
46122-1993
US

IV. Provider business mailing address

1000 E MAIN ST
DANVILLE IN
46122-1948
US

V. Phone/Fax

Practice location:
  • Phone: 317-745-7337
  • Fax: 317-745-3093
Mailing address:
  • Phone: 317-837-5566
  • Fax: 317-718-6793

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number02008931A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: