Provider Demographics
NPI:1689816829
Name:BURKHOLDER, EMILY FRIESEN (CRNP)
Entity Type:Individual
Prefix:MS
First Name:EMILY
Middle Name:FRIESEN
Last Name:BURKHOLDER
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2380 LITITZ PIKE
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17601-3652
Mailing Address - Country:US
Mailing Address - Phone:717-517-9277
Mailing Address - Fax:717-397-2426
Practice Address - Street 1:694 GOOD DR
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17601-2433
Practice Address - Country:US
Practice Address - Phone:717-397-8177
Practice Address - Fax:717-397-2426
Is Sole Proprietor?:No
Enumeration Date:2009-04-02
Last Update Date:2010-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP010088163WW0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WW0101XNursing Service ProvidersRegistered NurseWomen's Health Care, Ambulatory