Provider Demographics
NPI:1386724417
Name:EARLEY, MARIA ELAINE (NP)
Entity type:Individual
Prefix:MS
First Name:MARIA
Middle Name:ELAINE
Last Name:EARLEY
Suffix:
Gender:F
Credentials:NP
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Mailing Address - Street 1:1527 COLLEGE DRIVE
Mailing Address - Street 2:
Mailing Address - City:MT.CARMEL, IL 62863
Mailing Address - State:IL
Mailing Address - Zip Code:62863
Mailing Address - Country:US
Mailing Address - Phone:618-263-6400
Mailing Address - Fax:618-263-6291
Practice Address - Street 1:1527 COLLEGE DRIVE
Practice Address - Street 2:
Practice Address - City:MT.CARMEL, IL 62863
Practice Address - State:IL
Practice Address - Zip Code:62863
Practice Address - Country:US
Practice Address - Phone:618-263-6400
Practice Address - Fax:618-263-6291
Is Sole Proprietor?:No
Enumeration Date:2006-10-16
Last Update Date:2023-07-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IN28126433A163WR0006X
IL041479109163WR0006X
IN71010921A363LF0000X
IL209007211363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant