=====================================================
General NPI Number Information
=====================================================
NPI Number | 1073071841
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | EMILY ROBIN WHITE NP-C
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/11/2019
-----------------------------------------------------
Last Update Date | 09/16/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 4778 S SCATTERFIELD RD
-----------------------------------------------------
City | ANDERSON
-----------------------------------------------------
State | IN
-----------------------------------------------------
Zip | 46013-2908
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 765-646-6331
-----------------------------------------------------
Fax | 317-583-2565
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 4778 S SCATTERFIELD RD
-----------------------------------------------------
City | ANDERSON
-----------------------------------------------------
State | IN
-----------------------------------------------------
Zip | 46013-2908
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 765-646-6331
-----------------------------------------------------
Fax | 317-583-2565
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LF0000X
-----------------------------------------------------
Taxonomy Name | Family Nurse Practitioner
-----------------------------------------------------
License Number | 71009015A
-----------------------------------------------------
License Number State | IN
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 163W00000X
-----------------------------------------------------
Taxonomy Name | Registered Nurse
-----------------------------------------------------
License Number | 28179475A
-----------------------------------------------------
License Number State | IN
-----------------------------------------------------