Individual
DR. AMANDA M EMERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
1540 S JOHN RODES BLVD, MELBOURNE, FL 32904-3336
(321) 280-2080
Mailing address
1540 S JOHN RODES BLVD, MELBOURNE, FL 32904-3336
(321) 280-2080
(321) 320-8820
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
APRN11015106
FL
363LF0000X
Family Nurse Practitioner
Primary
11015106
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114285200
—
FL
Enumeration date
09/01/2020
Last updated
07/11/2024
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