Provider Demographics
NPI:1679708879
Name:ARMSTRONG, EMILY SUE (PA-C)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:SUE
Last Name:ARMSTRONG
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:EMILY
Other - Middle Name:
Other - Last Name:SCHROBILGEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:1940 ELM ST
Mailing Address - Street 2:
Mailing Address - City:DUBUQUE
Mailing Address - State:IA
Mailing Address - Zip Code:52001-3641
Mailing Address - Country:US
Mailing Address - Phone:563-584-4600
Mailing Address - Fax:563-582-7847
Practice Address - Street 1:1940 ELM ST
Practice Address - Street 2:
Practice Address - City:DUBUQUE
Practice Address - State:IA
Practice Address - Zip Code:52001-3641
Practice Address - Country:US
Practice Address - Phone:563-584-4600
Practice Address - Fax:563-582-7847
Is Sole Proprietor?:No
Enumeration Date:2009-05-18
Last Update Date:2016-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA081389363A00000X
MI5601006320363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1679708879Medicaid
MIMI5792010Medicare PIN
MIC37626137Medicare PIN