Provider Demographics
NPI:1063037661
Name:DROUIN, EMILY J (NP)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:J
Last Name:DROUIN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:955 WONDER RD STE E
Mailing Address - Street 2:
Mailing Address - City:STAFFORD
Mailing Address - State:VA
Mailing Address - Zip Code:22554-7798
Mailing Address - Country:US
Mailing Address - Phone:540-741-7893
Mailing Address - Fax:540-741-9778
Practice Address - Street 1:955 WONDER RD STE E
Practice Address - Street 2:
Practice Address - City:STAFFORD
Practice Address - State:VA
Practice Address - Zip Code:22554-7798
Practice Address - Country:US
Practice Address - Phone:540-741-7893
Practice Address - Fax:540-741-9778
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-10
Last Update Date:2024-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95219708163W00000X
CA95027850363LF0000X
VA0024189777363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse