Provider Demographics
NPI:1801647672
Name:UDSETH, EMILY (FNP-C)
Entity type:Individual
Prefix:MRS
First Name:EMILY
Middle Name:
Last Name:UDSETH
Suffix:
Gender:
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:253 MONTPELIER CT
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:MD
Mailing Address - Zip Code:21157-4576
Mailing Address - Country:US
Mailing Address - Phone:443-605-8184
Mailing Address - Fax:
Practice Address - Street 1:532 BALTIMORE BLVD STE 101
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:MD
Practice Address - Zip Code:21157-6118
Practice Address - Country:US
Practice Address - Phone:667-367-2778
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-29
Last Update Date:2025-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR198856363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner