Provider Demographics
NPI:1770936494
Name:SAW, EMMA
Entity type:Individual
Prefix:
First Name:EMMA
Middle Name:
Last Name:SAW
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 MUSEUM SQ APT 812
Mailing Address - Street 2:
Mailing Address - City:LAWRENCE
Mailing Address - State:MA
Mailing Address - Zip Code:01840-1539
Mailing Address - Country:US
Mailing Address - Phone:857-200-7370
Mailing Address - Fax:
Practice Address - Street 1:2 MUSEUM SQ APT 812
Practice Address - Street 2:
Practice Address - City:LAWRENCE
Practice Address - State:MA
Practice Address - Zip Code:01840-1539
Practice Address - Country:US
Practice Address - Phone:857-200-7370
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-07-18
Last Update Date:2016-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH067660-21163W00000X
MARN2283019163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse