Provider Demographics
NPI:1881367563
Name:HESIL, EMMA ELIZABETH LISAK (CPM)
Entity type:Individual
Prefix:
First Name:EMMA
Middle Name:ELIZABETH LISAK
Last Name:HESIL
Suffix:
Gender:F
Credentials:CPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:211 E PRESQUEISLE ST APT 3
Mailing Address - Street 2:
Mailing Address - City:PHILIPSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:16866-1689
Mailing Address - Country:US
Mailing Address - Phone:814-246-8222
Mailing Address - Fax:
Practice Address - Street 1:211 E PRESQUEISLE ST APT 3
Practice Address - Street 2:
Practice Address - City:PHILIPSBURG
Practice Address - State:PA
Practice Address - Zip Code:16866-1689
Practice Address - Country:US
Practice Address - Phone:814-246-8222
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-28
Last Update Date:2021-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife