MEDICARE: MRS. EMALEE JANE PROHASKA 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
1	363LF0000X	Family Nurse Practitioner	4704393226	MI

General Provider Information

NPI Number	:	1730046442
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. EMALEE JANE PROHASKA FNP

Provider Business Mailing Address
First Line	:	2147 PALMER RD
Second Line	:
City	:	STANDISH
State	:	MI
Zip	:	48658-9741
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1266 WALTON BLVD
Second Line	:
City	:	ROCHESTER HILLS
State	:	MI
Zip	:	48307-6900
Country	:	US
Telephone Number	:	248-710-2900
Fax Number	:	248-710-2905

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/06/2026
Last Update Date	:	06/02/2026

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