MS. EMMA GRACE PROSSER APRN NPI 1053973248

NPI Information

NPI: 1053973248
Provider Name: MS. EMMA GRACE PROSSER, APRN
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

PECOS Registration: Yes

Address:
1222 S ORANGE AVE 2ND FL
ORLANDO, FL
ZIP 32806
Phone: (321) 843-3220
Get Directions

MS. Emma Grace Prosser, APRN is a pediatrics nurse practitioner in Orlando, FL with 6 years of experience. MS. Emma Grace Prosser, APRN NPI is 1053973248. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1222 S ORANGE AVE 2ND FL
ORLANDO, FL
ZIP 32806-106
Phone: (321) 843-3220
Fax: (321) 843-3210

The NPI 1053973248 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/8/2019 and was last updated on 4/19/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	APRN11002134	FLORIDA	No
2	363LP0200X	Nurse Practitioner	Pediatrics	APRN11002134	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	103757400	MEDICAID	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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