Individual
DAVID EUGENE EMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN-FNP
Contact information
Practice address
1251 ELBOWOODS LOOP, NEW TOWN, ND 58763-9112
(701) 627-4750
(701) 627-4223
Mailing address
1251 ELBOWOODS LOOP, NEW TOWN, ND 58763-9112
(701) 627-4750
(701) 627-4223
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
77628
OK
363LF0000X
Family Nurse Practitioner
77628
OK
363LF0000X
Family Nurse Practitioner
Primary
R47004
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200682230A
—
OK
Enumeration date
04/21/2016
Last updated
04/15/2025
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