Emmerich, Susan L

Emmerich, Susan L is an individual health care provider with primary practice located at 1215 Dunn Ave , Jacksonville FL 32218-6330. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Emmerich, Susan L can be contacted via phone (904) 757-1998.

Contact Information

Primary practice address
1215 Dunn Ave Jacksonville FL 32218-6330
Phone: (904) 757-1998
Fax: (904) 696-7462
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X C056595 Iowa
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X ARNP9380555 Florida

Profile Details

NPI number 1700909389
LBN Legal business name Emmerich, Susan L
Credentials ARNP, CPNP
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 9th, 2007
Last updated Mar 7th, 2023 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700909389 NPPES
Iowa Other C 056595 IA NURSE LISCENSE
Iowa Other 5200629 IA NURSE LISCENSE
Iowa Other ARNP9380555 IA NURSE LISCENSE

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