Individual
EMILY LIESER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
5565 WOODBINE RD, PACE, FL 32571
(850) 994-5010
Mailing address
PO BOX 2699, PENSACOLA, FL 32513-2699
(850) 475-4686
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
ARNP 9325675
FL
363LP2300X
Primary Care Nurse Practitioner
Primary
APRN9325675
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014991300
—
FL
Enumeration date
05/08/2015
Last updated
07/17/2019
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