Healthcare Provider Details

I. General information

NPI: 1922911171
Provider Name (Legal Business Name): EMILY ELIZABETH FERON PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2023 EMMORTON RD STE A
BEL AIR MD
21015-6475
US

IV. Provider business mailing address

2023 EMMORTON RD STE A
BEL AIR MD
21015-6475
US

V. Phone/Fax

Practice location:
  • Phone: 410-803-6885
  • Fax:
Mailing address:
  • Phone: 410-803-6885
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberC0010788
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: