Provider Demographics
NPI:1225713894
Name:EMANUEL, ERIN FELICIA (PMHNP-BC)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:FELICIA
Last Name:EMANUEL
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5296 UNIVERSITY AVE STE F1
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92105-2269
Mailing Address - Country:US
Mailing Address - Phone:844-200-2426
Mailing Address - Fax:619-488-2668
Practice Address - Street 1:5296 UNIVERSITY AVE STE F1
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92105-2269
Practice Address - Country:US
Practice Address - Phone:844-200-2426
Practice Address - Fax:619-488-2668
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-20
Last Update Date:2025-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95025300363LP0808X
NC5020214363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health