Provider Demographics
NPI:1417933193
Name:STEADMAN, EMMIE ELIZABETH (ACNP)
Entity Type:Individual
Prefix:MS
First Name:EMMIE
Middle Name:ELIZABETH
Last Name:STEADMAN
Suffix:
Gender:F
Credentials:ACNP
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Other - First Name:
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Mailing Address - Street 1:96 JONATHAN LUCAS ST
Mailing Address - Street 2:SUITE 424
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29425-8900
Mailing Address - Country:US
Mailing Address - Phone:843-792-2339
Mailing Address - Fax:843-792-7702
Practice Address - Street 1:96 JONATHAN LUCAS ST
Practice Address - Street 2:SUITE 424
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29425-8900
Practice Address - Country:US
Practice Address - Phone:843-792-2339
Practice Address - Fax:843-792-7702
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-15
Last Update Date:2007-10-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
SCAPN1001363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care