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Individual

EMILY O'MARA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP-C

Contact information

Practice address
2068 WOODMOOR RIDGE DR, WILDWOOD, MO 63011-1778
(636) 484-1248
Mailing address
PO BOX 740019, ATLANTA, GA 30374-0019
(736) 443-9417

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2018038256
MO
363LF0000X
Family Nurse Practitioner
Primary
2023025357
MO
363LF0000X
Family Nurse Practitioner
RN313781
GA

Other

Enumeration date
06/21/2022
Last updated
07/01/2025
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