Provider Demographics
NPI:1548822562
Name:ABBEY, EMMA (NP-C)
Entity type:Individual
Prefix:
First Name:EMMA
Middle Name:
Last Name:ABBEY
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6637 E VIA BOCA CHICA
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85756-8310
Mailing Address - Country:US
Mailing Address - Phone:815-545-8958
Mailing Address - Fax:
Practice Address - Street 1:3845 N BUSINESS CENTER DR STE 111
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85705-3188
Practice Address - Country:US
Practice Address - Phone:719-491-3696
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-29
Last Update Date:2021-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN196642163W00000X
AZF11190862363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse