Provider Demographics
NPI:1134790298
Name:DUEZ, EMILY LOUISE (AGPCNP)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:LOUISE
Last Name:DUEZ
Suffix:
Gender:F
Credentials:AGPCNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:765 DRESDEN DR
Mailing Address - Street 2:
Mailing Address - City:HUBBARD
Mailing Address - State:OH
Mailing Address - Zip Code:44425-1219
Mailing Address - Country:US
Mailing Address - Phone:330-719-2064
Mailing Address - Fax:
Practice Address - Street 1:250 DEBARTOLO PL STE 1630
Practice Address - Street 2:
Practice Address - City:YOUNGSTOWN
Practice Address - State:OH
Practice Address - Zip Code:44512-6088
Practice Address - Country:US
Practice Address - Phone:330-707-5864
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-08
Last Update Date:2021-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHLE-00036424363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health