Individual
MS. EMMA GRACE PROSSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1222 S ORANGE AVE 2ND FL, ORLANDO, FL 32806-1106
(321) 843-3220
(321) 843-3210
Mailing address
1222 S ORANGE AVE 2ND FL, ORLANDO, FL 32806-1106
(321) 841-1700
(321) 841-1906
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
APRN11002134
FL
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN11002134
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103757400
—
FL
Enumeration date
07/08/2019
Last updated
04/19/2021
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