Provider Demographics
NPI:1376266619
Name:EMMI, ERIN MOLLY (CNM APRN-RX)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:MOLLY
Last Name:EMMI
Suffix:
Gender:F
Credentials:CNM APRN-RX
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:91-1295 LIKOLEHUA LOOP
Mailing Address - Street 2:
Mailing Address - City:EWA BEACH
Mailing Address - State:HI
Mailing Address - Zip Code:96706-6802
Mailing Address - Country:US
Mailing Address - Phone:734-679-6246
Mailing Address - Fax:
Practice Address - Street 1:91-1295 LIKOLEHUA LOOP
Practice Address - Street 2:
Practice Address - City:EWA BEACH
Practice Address - State:HI
Practice Address - Zip Code:96706-6802
Practice Address - Country:US
Practice Address - Phone:734-679-6246
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-21
Last Update Date:2022-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife