Provider Demographics
NPI:1891168258
Name:AMENYA, EMILY
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:
Last Name:AMENYA
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 1:22 CENTURY BLVD STE 220
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37214-3787
Mailing Address - Country:US
Mailing Address - Phone:615-346-8468
Mailing Address - Fax:855-737-5542
Practice Address - Street 1:5444 WESTHEIMER RD STE 1000
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77056-5318
Practice Address - Country:US
Practice Address - Phone:832-786-4970
Practice Address - Fax:855-737-5542
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-06
Last Update Date:2023-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00566400363LF0000X
WAAP61206545363LF0000X
OR202104356NP-PP363LF0000X
CA95018309363LF0000X
TXAP134398363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily