Provider Demographics
NPI:1326535188
Name:FERREIRA, EMILY LEE (NP-C)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:LEE
Last Name:FERREIRA
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:DEPT# 880385
Mailing Address - Street 2:P.O BOX 29650
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85038-9759
Mailing Address - Country:US
Mailing Address - Phone:480-626-1746
Mailing Address - Fax:480-626-2690
Practice Address - Street 1:500 UNIVERSITY AVE STE 250
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95825-6525
Practice Address - Country:US
Practice Address - Phone:916-680-9510
Practice Address - Fax:916-680-9550
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-17
Last Update Date:2020-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95006903363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner