Provider Demographics
NPI:1891595278
Name:MUNDY, EMMA C (NREMT)
Entity type:Individual
Prefix:
First Name:EMMA
Middle Name:C
Last Name:MUNDY
Suffix:
Gender:
Credentials:NREMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:210 N JACKSON ST
Mailing Address - Street 2:
Mailing Address - City:HUNTINGBURG
Mailing Address - State:IN
Mailing Address - Zip Code:47542-1328
Mailing Address - Country:US
Mailing Address - Phone:812-470-4083
Mailing Address - Fax:
Practice Address - Street 1:452 E CHRISTMAS BLVD
Practice Address - Street 2:
Practice Address - City:SANTA CLAUS
Practice Address - State:IN
Practice Address - Zip Code:47579-6152
Practice Address - Country:US
Practice Address - Phone:877-463-2645
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-15
Last Update Date:2025-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN50296620146N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes146N00000XEmergency Medical Service ProvidersEmergency Medical Technician, Basic