Individual provider · Type 1 NPI

Brandon Emry

Nurse Practitioner · Fort Wayne, IN

NPI number 1164938007 Active

Practice location

11104 Parkview Circle Dr Ste 110
Fort Wayne, IN 46845-1673

Mailing address

3702 New Vision Dr Bldg B
Fort Wayne, IN 46845-1703

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X28217961A (IN)
Nurse Practitioner Primary 363L00000X71007787A (IN)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1164938007

Brandon Emry's National Provider Identifier is 1164938007, issued on Dec 14, 2017. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Fort Wayne, IN. The record was last updated on Feb 14, 2018.