Provider / Organization | NPI | Date Certified |
---|---|---|
MARIA D EMMER | 1033728423 | 2022-06-19 |
Maria K De Valk [F] graduated in 2020 and primarily specializes in Nurse Practitioner.
Maria D Emmer is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1033728423. Registration indicates Maria D Emmer is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Nurse Practitioner, ) (All Other Specialties & Provider Types, ) (Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers)
PECOS ID | 7416376090 |
Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
Entity Type | Individual |
Provider Name | Maria D Emmer AGACNP-BC |
Other Provider Name | Maria De Valk |
Practice Office Address | 2901 W KINNICKINNIC RIVER PKWY STE 305 MILWAUKEE, WI US |
Practice Office Telephone | 9202244720 |
Mailing Address | 2901 W KINNICKINNIC RIVER PKWY STE 305 MILWAUKEE, WI 532153660 US |
FHIR URL [] | https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ | |
Direct Messaging Address [] | [email protected] |
Code | Practice | License No State |
---|---|---|
363L00000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse PractitionerAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Nurse Practitioner All Other Specialties & Provider Types Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers | 10213-33
WI |
100103827 | MEDICAID | WI |