Healthcare Provider Details

I. General information

NPI: 1073126207
Provider Name (Legal Business Name): EMILY M. WARRICK CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/27/2020
Last Update Date: 06/04/2025
Certification Date: 06/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

235 E MARKET ST
CLEARFIELD PA
16830-2424
US

IV. Provider business mailing address

235 E MARKET ST
CLEARFIELD PA
16830-2424
US

V. Phone/Fax

Practice location:
  • Phone: 814-205-4957
  • Fax: 814-205-4090
Mailing address:
  • Phone: 814-205-4957
  • Fax: 814-205-4090

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberSP022395
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP022395
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License NumberSP022395
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: