Individual
NICOLE EMORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3800 RESERVOIR RD NW, WASHINGTON, DC 20007-2113
(202) 444-8469
Mailing address
813 ORIOLE AVE, GLEN BURNIE, MD 21060-8437
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN1010724
DC
Other
Enumeration date
08/03/2017
Last updated
08/03/2017
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