Provider Demographics
NPI:1215608351
Name:ANDERSON, EMILY (APN)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:
Last Name:ANDERSON
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:5 PLAINSBORO ROAD
Mailing Address - Street 2:SUITE 540
Mailing Address - City:PLAINSBORO
Mailing Address - State:NJ
Mailing Address - Zip Code:08536-1913
Mailing Address - Country:US
Mailing Address - Phone:215-360-0989
Mailing Address - Fax:215-615-1929
Practice Address - Street 1:5 PLAINSBORO RD
Practice Address - Street 2:
Practice Address - City:PLAINSBORO
Practice Address - State:NJ
Practice Address - Zip Code:08536-1915
Practice Address - Country:US
Practice Address - Phone:609-853-6590
Practice Address - Fax:609-853-6581
Is Sole Proprietor?:No
Enumeration Date:2021-09-27
Last Update Date:2022-06-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJ26NJ01191800363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health