Provider Demographics
NPI:1073392064
Name:EMSA HEALTHCARE SERVICES
Entity Type:Organization
Organization Name:EMSA HEALTHCARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:APRN
Authorized Official - Prefix:
Authorized Official - First Name:EMMANUELA
Authorized Official - Middle Name:C
Authorized Official - Last Name:PIERRE-CHARLES
Authorized Official - Suffix:
Authorized Official - Credentials:DNP,APRN
Authorized Official - Phone:181-349-4262
Mailing Address - Street 1:9720 N ARMENIA AVE
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33612-7506
Mailing Address - Country:US
Mailing Address - Phone:813-494-2621
Mailing Address - Fax:
Practice Address - Street 1:9720 N ARMENIA AVE
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33612-7506
Practice Address - Country:US
Practice Address - Phone:813-494-2621
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-27
Last Update Date:2023-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Multi-Specialty