Healthcare Provider Details

I. General information

NPI: 1083330047
Provider Name (Legal Business Name): EMMA LITTLE DO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/12/2022
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

OPC 41 BOX 15
APO AE
09461-9001
US

IV. Provider business mailing address

OPC 41 BOX 15
APO AE
09461-9001
US

V. Phone/Fax

Practice location:
  • Phone: 314-226-8010
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number2991
License Number StateNE
# 2
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberSL2094
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: