Individual
LAURA EMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3400 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-5127
(215) 316-5151
Mailing address
3400 CIVIC CENTER BLVD, 4 WEST, PHILADELPHIA, PA 19104-5127
(215) 614-0086
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP021551
PA
Other
Enumeration date
02/25/2020
Last updated
01/24/2022
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