Doctor Name: | MS. LEESA MAIRE EMENAKER |
NPI Number: | 1669539631 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN, BSN, OCN |
License Number: | R9128107 |
Business Practice Address: | 2501 Oakington St Aberdeen Proving Ground, MD - 210055131 |
Business Phone Number: | 4102785432 |
Business Fax Number: | |
Mailing Address: | 1705 Pebble Beach Dr, ELKTON |
State: | MD |
Postal Code: | 219216345 |
Phone Number: | 7572705830 |
Fax Number: | |
NPI Enumeration Date: | 01/02/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WX0200X |
License Number: | R9128107 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Oncology |
Taxonomy Definition: |