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NPI Code Detail

MEDICARE: MRS. EMALEE JANE PROHASKA FNP

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
1363LF0000XFamily Nurse Practitioner4704393226MI

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 : 725 E STATE ST
Second Line :
City : STERLING
State : MI
Zip : 48659-9548
Country : US
Telephone Number : 989-654-2491
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/06/2026
Last Update Date : 01/06/2026

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Directions to “ MRS. EMALEE JANE PROHASKA FNP” Practice Location

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