Provider Demographics
NPI:1770347890
Name:HARSEL, EMMA FEENEY (PA-C)
Entity type:Individual
Prefix:
First Name:EMMA
Middle Name:FEENEY
Last Name:HARSEL
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8100 SANDPIPER CIR STE 308
Mailing Address - Street 2:
Mailing Address - City:NOTTINGHAM
Mailing Address - State:MD
Mailing Address - Zip Code:21236-4992
Mailing Address - Country:US
Mailing Address - Phone:410-918-0777
Mailing Address - Fax:
Practice Address - Street 1:8100 SANDPIPER CIR STE 308
Practice Address - Street 2:
Practice Address - City:NOTTINGHAM
Practice Address - State:MD
Practice Address - Zip Code:21236-4992
Practice Address - Country:US
Practice Address - Phone:410-918-0777
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-08
Last Update Date:2024-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDC0009268363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant