Provider Demographics
NPI:1083002976
Name:PEPER, EMELITA ORTEGA (NP)
Entity type:Individual
Prefix:MRS
First Name:EMELITA
Middle Name:ORTEGA
Last Name:PEPER
Suffix:
Gender:F
Credentials:NP
Other - Prefix:MRS
Other - First Name:EMELITA
Other - Middle Name:ORTEGA
Other - Last Name:PEPER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:NP
Mailing Address - Street 1:2209 LONG DR
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:23146-2017
Mailing Address - Country:US
Mailing Address - Phone:804-460-9072
Mailing Address - Fax:
Practice Address - Street 1:2800 EISENHOWER AVE STE 220
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22314-4587
Practice Address - Country:US
Practice Address - Phone:888-803-3370
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-12-31
Last Update Date:2025-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY309443363LA2200X
WAAP61106412363LA2200X
DCNP50015341363LA2200X
TX1019473363LA2200X
AZ267138363LA2200X
VA0024179134363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health