Healthcare Provider Details

I. General information

NPI: 1679708879
Provider Name (Legal Business Name): EMILY SUE ARMSTRONG PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: EMILY SCHROBILGEN PA-C

II. Dates (important events)

Enumeration Date: 05/18/2009
Last Update Date: 02/26/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1940 ELM ST
DUBUQUE IA
52001-3641
US

IV. Provider business mailing address

1940 ELM ST
DUBUQUE IA
52001-3641
US

V. Phone/Fax

Practice location:
  • Phone: 563-584-4600
  • Fax: 563-582-7847
Mailing address:
  • Phone: 563-584-4600
  • Fax: 563-582-7847

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number081389
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: