Provider Demographics
NPI:1659744027
Name:TAELER, EMILY HOPE (AGACNP-BC)
Entity Type:Individual
Prefix:MS
First Name:EMILY
Middle Name:HOPE
Last Name:TAELER
Suffix:
Gender:F
Credentials:AGACNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:260 TOWNSHIP BLVD
Mailing Address - Street 2:STE 20
Mailing Address - City:CAMILLUS
Mailing Address - State:NY
Mailing Address - Zip Code:13031-1678
Mailing Address - Country:US
Mailing Address - Phone:315-708-0190
Mailing Address - Fax:315-708-0194
Practice Address - Street 1:260 TOWNSHIP BLVD STE 20
Practice Address - Street 2:
Practice Address - City:CAMILLUS
Practice Address - State:NY
Practice Address - Zip Code:13031-1678
Practice Address - Country:US
Practice Address - Phone:315-708-0190
Practice Address - Fax:315-488-3284
Is Sole Proprietor?:No
Enumeration Date:2015-11-07
Last Update Date:2019-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY575259163W00000X
NY430957363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No163W00000XNursing Service ProvidersRegistered Nurse