Provider Demographics
NPI:1740830595
Name:GOLDSMITH, EMERALD ELIZABETH (PA)
Entity type:Individual
Prefix:
First Name:EMERALD
Middle Name:ELIZABETH
Last Name:GOLDSMITH
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:EMERALD
Other - Middle Name:ELIZABETH
Other - Last Name:CURRY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1 QUALITY DR
Mailing Address - Street 2:
Mailing Address - City:VACAVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95688-9494
Mailing Address - Country:US
Mailing Address - Phone:707-624-3200
Mailing Address - Fax:707-624-3201
Practice Address - Street 1:1 QUALITY DR
Practice Address - Street 2:
Practice Address - City:VACAVILLE
Practice Address - State:CA
Practice Address - Zip Code:95688-9494
Practice Address - Country:US
Practice Address - Phone:707-624-3200
Practice Address - Fax:707-624-3201
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-13
Last Update Date:2024-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA57509363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant