Healthcare Provider Details

I. General information

NPI: 1518031624
Provider Name (Legal Business Name): MAURA ANNE EMERSON M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/20/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8901 WISCONSIN AVE NATIONAL NAVAL MEDICAL CENTER
BETHESDA MD
20889-0001
US

IV. Provider business mailing address

21022 BLUNT RD
GERMANTOWN MD
20876-4233
US

V. Phone/Fax

Practice location:
  • Phone: 301-319-4789
  • Fax:
Mailing address:
  • Phone: 301-947-3721
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083P0500X
TaxonomyPreventive Medicine/Occupational Environmental Medicine Physician
License Number0036162
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code2083P0901X
TaxonomyPublic Health & General Preventive Medicine Physician
License Number0036162
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: