Provider Demographics
NPI:1447387592
Name:EMERLING, AMY MARIE (CRNP)
Entity Type:Individual
Prefix:MS
First Name:AMY
Middle Name:MARIE
Last Name:EMERLING
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:918 E PRATT ST
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21202-4528
Mailing Address - Country:US
Mailing Address - Phone:410-382-6199
Mailing Address - Fax:
Practice Address - Street 1:401 N BROADWAY
Practice Address - Street 2:ROOM 1123
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21231-1146
Practice Address - Country:US
Practice Address - Phone:410-502-1308
Practice Address - Fax:443-287-0108
Is Sole Proprietor?:No
Enumeration Date:2007-02-27
Last Update Date:2009-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR156207363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD012775200Medicaid
MD129960Y1JMedicare PIN
MD012775200Medicaid
MDKR52P514Medicare PIN