Provider Demographics
NPI:1407859945
Name:GRASER, EMILY BORISKIE (FNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:EMILY
Middle Name:BORISKIE
Last Name:GRASER
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:720 GIRARD PARK DR
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70503-2806
Mailing Address - Country:US
Mailing Address - Phone:337-231-0035
Mailing Address - Fax:337-261-4068
Practice Address - Street 1:716 HELLEN ST
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70501-3468
Practice Address - Country:US
Practice Address - Phone:337-231-0035
Practice Address - Fax:337-261-4068
Is Sole Proprietor?:No
Enumeration Date:2005-05-28
Last Update Date:2011-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LARN22865 APO1927363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily