Provider Demographics
NPI:1114530268
Name:SANTIAGO-GARCIA, EMMA MARIA (CRNP)
Entity Type:Individual
Prefix:MRS
First Name:EMMA
Middle Name:MARIA
Last Name:SANTIAGO-GARCIA
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:MISS
Other - First Name:EMMA
Other - Middle Name:MARIA
Other - Last Name:SANTIAGO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:478 GLENN ROSE CIR
Mailing Address - Street 2:
Mailing Address - City:KING OF PRUSSIA
Mailing Address - State:PA
Mailing Address - Zip Code:19406-1798
Mailing Address - Country:US
Mailing Address - Phone:718-581-6519
Mailing Address - Fax:
Practice Address - Street 1:701 E MARSHALL ST STE W039
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19380-4412
Practice Address - Country:US
Practice Address - Phone:610-431-5155
Practice Address - Fax:610-431-5157
Is Sole Proprietor?:No
Enumeration Date:2020-08-28
Last Update Date:2022-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP021881363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health