Provider Demographics
NPI:1578341707
Name:EMRICK, AMARYLIS REMELLE
Entity Type:Individual
Prefix:MRS
First Name:AMARYLIS
Middle Name:REMELLE
Last Name:EMRICK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:306 EDGE AVE UNIT 663
Mailing Address - Street 2:
Mailing Address - City:VALPARAISO
Mailing Address - State:FL
Mailing Address - Zip Code:32580-1032
Mailing Address - Country:US
Mailing Address - Phone:314-685-5491
Mailing Address - Fax:
Practice Address - Street 1:306 EDGE AVE UNIT 663
Practice Address - Street 2:
Practice Address - City:VALPARAISO
Practice Address - State:FL
Practice Address - Zip Code:32580-1032
Practice Address - Country:US
Practice Address - Phone:314-685-5491
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-19
Last Update Date:2023-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL202302036374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula