| Doctor Name: | EMELDA FRI NJEI |
| NPI Number: | 1861851602 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CRNP-PMH |
| License Number: | R193904 |
| Business Practice Address: | 12 Duke Of Windsor Ct Apt 204 Gwynn Oak, MD - 212072202 |
| Business Phone Number: | 3027241181 |
| Business Fax Number: | |
| Mailing Address: | 12 Duke Of Windsor Ct, Apt 204 GWYNN OAK |
| State: | MD |
| Postal Code: | 212072202 |
| Phone Number: | 3027241181 |
| Fax Number: | |
| NPI Enumeration Date: | 02/22/2016 |
| NPI Last Update Date: | 02/22/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0808X |
| License Number: | R193904 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MD |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |