Provider Demographics
NPI:1023356425
Name:EDWARDS, EMMA SAMEERA (PA)
Entity type:Individual
Prefix:MRS
First Name:EMMA
Middle Name:SAMEERA
Last Name:EDWARDS
Suffix:
Gender:F
Credentials:PA
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Mailing Address - Street 1:7121 STEPHANIE LN STE 102
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68516-5352
Mailing Address - Country:US
Mailing Address - Phone:970-663-2742
Mailing Address - Fax:970-342-2093
Practice Address - Street 1:7121 STEPHANIE LN STE 102
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68516-5352
Practice Address - Country:US
Practice Address - Phone:402-413-5010
Practice Address - Fax:402-413-5009
Is Sole Proprietor?:No
Enumeration Date:2013-01-21
Last Update Date:2021-03-24
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Provider Licenses
StateLicense IDTaxonomies
NE1694207Q00000X, 363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine