Emerson, Mary Susan
Emerson, Mary Susan is an sole proprietor health care provider with primary practice located at 2616 Tumble Brook Dr , Las Vegas NV 89134-7869. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Emerson, Mary Susan can be contacted via phone (918) 606-0505.Contact Information
Primary practice address
2616 Tumble Brook Dr
Las Vegas NV 89134-7869
Phone: (918) 606-0505
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 063436 | Missouri |
Profile Details
| NPI number | 1790784452 |
|---|---|
| LBN Legal business name | Emerson, Mary Susan |
| Credentials | APRN, PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 15th, 2005 |
| Last updated | Feb 17th, 2015 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790784452 | NPPES |
| Missouri | MEDICAID | 425324506 |
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