Provider Demographics
NPI:1780986091
Name:BURR, EMILY AMES (NP)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:AMES
Last Name:BURR
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 1:7652 BELAIR RD STE A
Mailing Address - Street 2:
Mailing Address - City:NOTTINGHAM
Mailing Address - State:MD
Mailing Address - Zip Code:21236-4067
Mailing Address - Country:US
Mailing Address - Phone:443-524-2712
Mailing Address - Fax:443-399-1282
Practice Address - Street 1:7652 BELAIR RD STE A
Practice Address - Street 2:
Practice Address - City:NOTTINGHAM
Practice Address - State:MD
Practice Address - Zip Code:21236-4067
Practice Address - Country:US
Practice Address - Phone:443-524-2712
Practice Address - Fax:443-399-1282
Is Sole Proprietor?:No
Enumeration Date:2010-11-19
Last Update Date:2025-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR183585363LP0200X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD051530200Medicaid