Provider Demographics
NPI:1124688742
Name:GROVES-NEMATI, EMILY (MSN, RN, PHN)
Entity type:Individual
Prefix:MS
First Name:EMILY
Middle Name:
Last Name:GROVES-NEMATI
Suffix:
Gender:F
Credentials:MSN, RN, PHN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:72577 ROLLING KNOLLS DR
Mailing Address - Street 2:
Mailing Address - City:PALM DESERT
Mailing Address - State:CA
Mailing Address - Zip Code:92260-6713
Mailing Address - Country:US
Mailing Address - Phone:805-234-0754
Mailing Address - Fax:
Practice Address - Street 1:39000 BOB HOPE DRIVE
Practice Address - Street 2:PROBST SUITE 100B
Practice Address - City:RANCHO MIRAGE
Practice Address - State:CA
Practice Address - Zip Code:92270
Practice Address - Country:US
Practice Address - Phone:760-773-1404
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-17
Last Update Date:2019-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator