Healthcare Provider Details

I. General information

NPI: 1093533010
Provider Name (Legal Business Name): EMILY NEAL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/30/2024
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8123 CASTLETON RD
INDIANAPOLIS IN
46250-2006
US

IV. Provider business mailing address

8123 CASTLETON RD
INDIANAPOLIS IN
46250-2006
US

V. Phone/Fax

Practice location:
  • Phone: 317-777-1034
  • Fax:
Mailing address:
  • Phone: 317-777-1034
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WC0200X
TaxonomyCritical Care Medicine Registered Nurse
License Number28244044A
License Number StateIN
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number71017178A
License Number StateIN
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number71017178A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: