Provider Demographics
NPI:1740162205
Name:PLUMMER, EMILY DANIELLE (PMHNP-BC)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:DANIELLE
Last Name:PLUMMER
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:MRS
Other - First Name:EMILY
Other - Middle Name:DANIELLE
Other - Last Name:KOLENO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:848 22ND ST
Mailing Address - Street 2:
Mailing Address - City:ALTOONA
Mailing Address - State:PA
Mailing Address - Zip Code:16601-2007
Mailing Address - Country:US
Mailing Address - Phone:814-954-2361
Mailing Address - Fax:
Practice Address - Street 1:1425 SCALP AVE STE 175
Practice Address - Street 2:
Practice Address - City:JOHNSTOWN
Practice Address - State:PA
Practice Address - Zip Code:15904-3324
Practice Address - Country:US
Practice Address - Phone:814-269-4700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-24
Last Update Date:2025-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP033349363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health