Provider Demographics
NPI:1487359659
Name:WHARTON, EMILY SKIDMORE (FNP)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:SKIDMORE
Last Name:WHARTON
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:812 W 29TH ST
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23225-3509
Mailing Address - Country:US
Mailing Address - Phone:703-969-8339
Mailing Address - Fax:
Practice Address - Street 1:8239 MEADOWBRIDGE RD STE A
Practice Address - Street 2:
Practice Address - City:MECHANICSVILLE
Practice Address - State:VA
Practice Address - Zip Code:23116-2318
Practice Address - Country:US
Practice Address - Phone:804-730-0800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-05
Last Update Date:2024-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024186888363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily