Provider Demographics
NPI:1982143343
Name:FLOODE, EMILY (NURSE PRACTITIONER)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:
Last Name:FLOODE
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
Other - Prefix:
Other - First Name:EMILY
Other - Middle Name:NYANGE
Other - Last Name:MOSEH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NURSE
Mailing Address - Street 1:12910 LEDO CREEK TER
Mailing Address - Street 2:
Mailing Address - City:BELTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20705-5108
Mailing Address - Country:US
Mailing Address - Phone:703-200-3288
Mailing Address - Fax:
Practice Address - Street 1:12910 LEDO CREEK TER
Practice Address - Street 2:
Practice Address - City:BELTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20705-5108
Practice Address - Country:US
Practice Address - Phone:703-200-3288
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-02-17
Last Update Date:2023-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDACOO2218207Q00000X
DCRN58859364SF0001X
MDACOO3962363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No364SF0001XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistFamily Health