Provider Demographics
NPI:1649662511
Name:HO, EMILY BETH (RNP)
Entity type:Individual
Prefix:MRS
First Name:EMILY
Middle Name:BETH
Last Name:HO
Suffix:
Gender:
Credentials:RNP
Other - Prefix:MISS
Other - First Name:EMILY
Other - Middle Name:BETH
Other - Last Name:BALCHUNAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RNP
Mailing Address - Street 1:110 ELM ST STE 2
Mailing Address - Street 2:
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02903-4626
Mailing Address - Country:US
Mailing Address - Phone:401-784-0401
Mailing Address - Fax:
Practice Address - Street 1:375 WAMPANOAG TRL STE 302B
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:RI
Practice Address - Zip Code:02915-2235
Practice Address - Country:US
Practice Address - Phone:401-649-4070
Practice Address - Fax:401-649-4071
Is Sole Proprietor?:No
Enumeration Date:2015-03-02
Last Update Date:2025-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RICAPRN01210363LA2200X, 363LG0600X
RIAPRN01210363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology