| Doctor Name: | MISS EMILY A GRISNIK |
| NPI Number: | 1144679416 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA-C |
| License Number: | C06145 |
| Business Practice Address: | 26840 Point Lookout Rd Leonardtown, MD - 206501409 |
| Business Phone Number: | 3014758091 |
| Business Fax Number: | 3014756712 |
| Mailing Address: | 26840 Point Lookout Rd, LEONARDTOWN |
| State: | MD |
| Postal Code: | 206501409 |
| Phone Number: | 3014758091 |
| Fax Number: | 3014756712 |
| NPI Enumeration Date: | 06/08/2016 |
| NPI Last Update Date: | 06/08/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | C06145 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |