Individual
EMMA LAURA EMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1630 MASON AVE STE C, DAYTONA BEACH, FL 32117
(386) 238-9064
(386) 238-9063
Mailing address
1630 MASON AVE STE C, DAYTONA BEACH, FL 32117-4503
(386) 238-9064
(386) 238-9063
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
ARNP9367507
FL
363LG0600X
Gerontology Nurse Practitioner
Primary
ARNP9367507
FL
Other
Enumeration date
04/15/2016
Last updated
10/29/2019
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