Healthcare Provider Details

I. General information

NPI: 1033239520
Provider Name (Legal Business Name): EMILY PASQUARIELLO FRIAR CPM, LM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/30/2007
Last Update Date: 10/03/2023
Certification Date: 10/03/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

330 WINDING RIVER LN
CHARLOTTESVILLE VA
22911-3568
US

IV. Provider business mailing address

330 WINDING RIVER LN
CHARLOTTESVILLE VA
22911-3568
US

V. Phone/Fax

Practice location:
  • Phone: 434-233-3013
  • Fax: 434-234-8183
Mailing address:
  • Phone: 434-233-3013
  • Fax: 434-234-8183

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License Number0129000002
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: