Healthcare Provider Details

I. General information

NPI: 1518559921
Provider Name (Legal Business Name): EMILY BADGER PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/07/2021
Last Update Date: 03/25/2026
Certification Date: 03/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

805 RIVER RD
DOVER DE
19901-3753
US

IV. Provider business mailing address

253 NE FRONT ST
MILFORD DE
19963-1431
US

V. Phone/Fax

Practice location:
  • Phone: 302-857-5150
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberC5-0011501
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: