Healthcare Provider Details

I. General information

NPI: 1942918941
Provider Name (Legal Business Name): EMILY ARMSTRONG APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/08/2022
Last Update Date: 08/16/2026
Certification Date: 08/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

545 APACHE TRL
MERRITT ISLAND FL
32953-7813
US

IV. Provider business mailing address

545 APACHE TRL
MERRITT ISLAND FL
32953-7813
US

V. Phone/Fax

Practice location:
  • Phone: 321-544-5221
  • Fax: 321-544-5221
Mailing address:
  • Phone: 321-544-5221
  • Fax: 321-544-5221

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number11027258
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number11027258
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: