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Individual

EMILY MARIE WARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NURSE PRACTITIONER

Contact information

Practice address
101 THE CITY DR S, ORANGE, CA 92868-3298
(714) 456-7890
Mailing address
5109 RIVER AVE APT B, NEWPORT BEACH, CA 92663-2474
(310) 941-0986

Taxonomy

Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
363LA2100X
Acute Care Nurse Practitioner
95012029
CA
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
95012029
CA

Other

Enumeration date
08/05/2019
Last updated
01/19/2024
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