Provider Demographics
NPI:1174147722
Name:NAVARRO GUPTA, EMMA (CNM)
Entity type:Individual
Prefix:
First Name:EMMA
Middle Name:
Last Name:NAVARRO GUPTA
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:EMMA
Other - Middle Name:
Other - Last Name:NAVARRO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:CNM
Mailing Address - Street 1:414 WAYMARKET DR
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48103-6435
Mailing Address - Country:US
Mailing Address - Phone:248-878-0261
Mailing Address - Fax:
Practice Address - Street 1:4604 SPOTSYLVANIA PKWY STE 225
Practice Address - Street 2:
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22408-7765
Practice Address - Country:US
Practice Address - Phone:540-710-1700
Practice Address - Fax:540-710-1800
Is Sole Proprietor?:No
Enumeration Date:2020-05-29
Last Update Date:2020-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife