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NPI Code Detail

MEDICARE: ADELAIDE MAE EMERY MSN, RN, APRN,FNP-BC

MEDICARE: ADELAIDE MAE EMERY MSN, RN, APRN,FNP-BC
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 PractitionerAP134936TX

General Provider Information

NPI Number : 1538674221
Entity Type Code : Individual
Provider Name (Legal Business Name) : ADELAIDE MAE EMERY MSN, RN, APRN,FNP-BC
Provider Business Mailing Address
First Line : 909 RIDGEBROOK RD STE 300
Second Line :
City : SPARKS
State : MD
Zip : 21152-9477
Country : US
Telephone Number : 443-383-9300
Fax Number : 855-866-8710
Provider Business Practice Location Address
First Line : 12830 HILLCREST RD STE 111
Second Line :
City : DALLAS
State : TX
Zip : 75230-1547
Country : US
Telephone Number : 443-383-9300
Fax Number : 855-866-8710
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/04/2017
Last Update Date : 12/29/2022

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