# EMILY DOUGLAS NEAL

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1306296306
- **Gender:** F
- **Credential:** NP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | RN2305523 | MA | — |
| 363LP0200X | Pediatric Nurse Practitioner | RN2305523 | MA | Yes |

## Other

- **Enumeration date:** 06/21/2016
- **Last updated:** 07/07/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 110115288A | — | MA |
| 01 | — | S400323457 | MEDICARE | MA |