Provider Demographics
NPI:1114465218
Name:BERARI, EMANUELA (FNP-C)
Entity Type:Individual
Prefix:
First Name:EMANUELA
Middle Name:
Last Name:BERARI
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:559 E OVILLA RD
Mailing Address - Street 2:
Mailing Address - City:RED OAK
Mailing Address - State:TX
Mailing Address - Zip Code:75154-3505
Mailing Address - Country:US
Mailing Address - Phone:855-955-2256
Mailing Address - Fax:817-533-6015
Practice Address - Street 1:559 E OVILLA RD
Practice Address - Street 2:
Practice Address - City:RED OAK
Practice Address - State:TX
Practice Address - Zip Code:75154-3505
Practice Address - Country:US
Practice Address - Phone:855-955-2256
Practice Address - Fax:817-533-6015
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-08
Last Update Date:2024-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP132476282N00000X, 282NC0060X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No282N00000XHospitalsGeneral Acute Care Hospital
No282NC0060XHospitalsGeneral Acute Care HospitalCritical Access