Provider Demographics
NPI:1669100178
Name:DE OCERA, EMILY (NP)
Entity type:Individual
Prefix:MRS
First Name:EMILY
Middle Name:
Last Name:DE OCERA
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:DESERT TRAUMA SURGEONS
Mailing Address - Street 2:380 E PASEO EL MIRADOR
Mailing Address - City:PALM SPRINGS
Mailing Address - State:CA
Mailing Address - Zip Code:92262
Mailing Address - Country:US
Mailing Address - Phone:760-323-6316
Mailing Address - Fax:760-323-6531
Practice Address - Street 1:DESERT TRAUMA SURGEONS
Practice Address - Street 2:380 E PASEO EL MIRADOR
Practice Address - City:PALM SPRINGS
Practice Address - State:CA
Practice Address - Zip Code:92262
Practice Address - Country:US
Practice Address - Phone:760-323-6316
Practice Address - Fax:760-323-6531
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-11
Last Update Date:2022-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95015732363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care