Individual
EMILY K MASTERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
EMT-B
Contact information
Practice address
241 WRIGHT ST, MARQUETTE, MI 49855-1955
(906) 228-7611
Mailing address
405 E PARK ST APT 36, MARQUETTE, MI 49855-3646
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
MI
146N00000X
Basic Emergency Medical Technician
2000271
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2000271
STATE LICENSE
MI
01
—
E3334611
NREMT
—
Enumeration date
08/04/2017
Last updated
08/11/2017
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