Provider Demographics
NPI:1558012963
Name:GEORGE, EMERALD ALINA (RN)
Entity Type:Individual
Prefix:
First Name:EMERALD
Middle Name:ALINA
Last Name:GEORGE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2671 TORREY PINES DR
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:94513-7089
Mailing Address - Country:US
Mailing Address - Phone:925-303-9709
Mailing Address - Fax:
Practice Address - Street 1:2671 TORREY PINES DR
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:CA
Practice Address - Zip Code:94513-7089
Practice Address - Country:US
Practice Address - Phone:925-303-9709
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-17
Last Update Date:2022-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95165035163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse