Provider Demographics
NPI:1457672818
Name:WIERSCHKE, EMILY ANN CLARK (CRNP)
Entity Type:Individual
Prefix:MRS
First Name:EMILY
Middle Name:ANN CLARK
Last Name:WIERSCHKE
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:EMILY
Other - Middle Name:ANN
Other - Last Name:CLARK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNP
Mailing Address - Street 1:EMILY WIERSCHKE, CRNP, UNIVERSITY OF MARYLAND MEDICAL
Mailing Address - Street 2:22 S. GREENE ST., ROOM T3N12
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21201
Mailing Address - Country:US
Mailing Address - Phone:410-328-3656
Mailing Address - Fax:
Practice Address - Street 1:EMILY WIERSCHKE, CRNP, UNIVERSITY OF MARYLAND MEDICAL
Practice Address - Street 2:22 S. GREENE ST., ROOM T3N12
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21201
Practice Address - Country:US
Practice Address - Phone:410-328-3656
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-18
Last Update Date:2019-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR176309363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care