Healthcare Provider Details

I. General information

NPI: 1700234952
Provider Name (Legal Business Name): EMERY MARCUS MSN, NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/27/2016
Last Update Date: 06/12/2025
Certification Date: 06/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 STANLEY ST
FALL RIVER MA
02720-6009
US

IV. Provider business mailing address

898 MAIN ST
WINCHESTER MA
01890-1913
US

V. Phone/Fax

Practice location:
  • Phone: 508-675-1054
  • Fax: 508-324-7777
Mailing address:
  • Phone: 781-721-2737
  • Fax: 781-721-0421

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN2298452
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberRN2298452
License Number StateMA
# 3
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License NumberRN2298452
License Number StateMA
# 4
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN04548
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: