Provider Demographics
NPI:1083793384
Name:TALLEY, EMILY (PA)
Entity Type:Individual
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First Name:EMILY
Middle Name:
Last Name:TALLEY
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Gender:F
Credentials:PA
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Mailing Address - Street 1:649 HARKLE RD
Mailing Address - Street 2:STE E
Mailing Address - City:SANTA FE
Mailing Address - State:NM
Mailing Address - Zip Code:87505-4765
Mailing Address - Country:US
Mailing Address - Phone:866-431-4077
Mailing Address - Fax:413-774-7448
Practice Address - Street 1:70 MAIN ST
Practice Address - Street 2:NORTHAMPTON HEALTH CENTER
Practice Address - City:FLORENCE
Practice Address - State:MA
Practice Address - Zip Code:01062-1466
Practice Address - Country:US
Practice Address - Phone:413-586-8400
Practice Address - Fax:413-585-5435
Is Sole Proprietor?:No
Enumeration Date:2006-11-06
Last Update Date:2016-09-26
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Provider Licenses
StateLicense IDTaxonomies
NM2001-PA33363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant