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NPI Code Detail

MEDICARE: ERINA TERESA EMERSON FNP

MEDICARE:   ERINA TERESA EMERSON  FNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerAPRN.CNP.020794OH

General Provider Information

NPI Number : 1154617827
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERINA TERESA EMERSON FNP
Provider Business Mailing Address
First Line : 4090 E GALBRAITH RD
Second Line :
City : DEER PARK
State : OH
Zip : 45236-2324
Country : US
Telephone Number : 513-853-9700
Fax Number :
Provider Business Practice Location Address
First Line : 4090 E GALBRAITH RD
Second Line :
City : DEER PARK
State : OH
Zip : 45236-2324
Country : US
Telephone Number : 513-853-9700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/21/2011
Last Update Date : 05/01/2026

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