Provider Demographics
NPI:1649015058
Name:PEAKE, EMMA BAER (FNP)
Entity type:Individual
Prefix:
First Name:EMMA
Middle Name:BAER
Last Name:PEAKE
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:EMMA
Other - Middle Name:ANNE
Other - Last Name:BAER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:120 N POTOMAC ST
Mailing Address - Street 2:
Mailing Address - City:HAGERSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21740-4810
Mailing Address - Country:US
Mailing Address - Phone:301-790-4938
Mailing Address - Fax:866-441-1174
Practice Address - Street 1:120 N POTOMAC ST
Practice Address - Street 2:
Practice Address - City:HAGERSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21740-4810
Practice Address - Country:US
Practice Address - Phone:301-790-4938
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-27
Last Update Date:2024-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR243520363LF0000X, 163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse