Healthcare Provider Details

I. General information

NPI: 1265860514
Provider Name (Legal Business Name): EMILY MAURER WHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/24/2013
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9103 FRANKLIN SQUARE DR STE 305
BALTIMORE MD
21237-3939
US

IV. Provider business mailing address

9103 FRANKLIN SQUARE DR STE 305
BALTIMORE MD
21237-3939
US

V. Phone/Fax

Practice location:
  • Phone: 443-777-7608
  • Fax:
Mailing address:
  • Phone: 302-652-2455
  • Fax: 302-322-6251

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License NumberLH-0000203
License Number StateDE
# 2
Primary TaxonomyY
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License NumberR218457
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: