Anne Clougherty Emerson in Salt Lake City - Physician Assistant

Anne Clougherty Emerson - NPI 1295887909

Anne Clougherty Emerson is a Physician Assistant in Salt Lake City, Utah. Anne Clougherty Emerson practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Anne Clougherty Emerson is 1295887909. The last update date is 2021-06-02.

Anne Clougherty Emerson's current location address is Po Box 25608, Salt Lake City, Utah. You can contact this provider via phone number 2063204476 and fax number 2065687043. The mailing address for Anne Clougherty Emerson is Po Box 25608, Salt Lake City, Utah. To know further, please read the information below!

Provider Profile Detail

Provider Name Anne Clougherty Emerson
Address Po Box 25608, Salt Lake City, Utah
Phone Number 2063204476
Fax Number 2065687043
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1295887909
Provider Enumeration Date 2007-01-16
Last Updated Date 2021-06-02

Provider Mailing Address Detail

Address Po Box 25608
City Salt Lake City
State Utah (UT)
Post Code 841250608
Phone Number 2063204476
Fax Number 2065687043

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No PA10004693
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
8405862 WA --
8850398 WA MEDICARE

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FAQs about Anne Clougherty Emerson

What is the unique 10-digit identifier code issued to Anne Clougherty Emerson by the Centers for Medicare & Medicaid Services?

The Anne Clougherty Emerson has been assigned the NPI (National Provider Identifier) 1295887909 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Anne Clougherty Emerson's facilities are geographically located?

The facilities of Anne Clougherty Emerson are physically situated at the following location: Po Box 25608, Salt Lake City, UT, 841250608.

What is Anne Clougherty Emerson's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Anne Clougherty Emerson is Physician Assistant, and the taxonomy code that classifies this field of practice is 363A00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1295887909 to Anne Clougherty Emerson?

The Centers for Medicare & Medicaid Services originally issued the 1295887909 to Anne Clougherty Emerson on 2007-01-16.

As of what date were the details related to Anne Clougherty Emerson most recently updated or revised?

The information pertaining to Anne Clougherty Emerson, including its address, specialty, and other relevant details, was last updated or revised on 2021-06-02.

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