Provider Demographics
NPI:1548279086
Name:EMERICK, NADIA RAMADI (ANP)
Entity type:Individual
Prefix:
First Name:NADIA
Middle Name:RAMADI
Last Name:EMERICK
Suffix:
Gender:F
Credentials:ANP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:425 N HIGHLAND AVE STE 230
Mailing Address - Street 2:
Mailing Address - City:SHERMAN
Mailing Address - State:TX
Mailing Address - Zip Code:75092-7383
Mailing Address - Country:US
Mailing Address - Phone:903-813-0728
Mailing Address - Fax:903-893-8958
Practice Address - Street 1:425 N HIGHLAND AVE STE 230
Practice Address - Street 2:
Practice Address - City:SHERMAN
Practice Address - State:TX
Practice Address - Zip Code:75092-7383
Practice Address - Country:US
Practice Address - Phone:903-813-0728
Practice Address - Fax:903-893-8958
Is Sole Proprietor?:No
Enumeration Date:2006-08-05
Last Update Date:2010-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX667599363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX164875005Medicaid
TX164875003Medicaid
TX164875004Medicaid
TX164875004Medicaid
TX164875005Medicaid
TX8L27229Medicare PIN
TX8L27228Medicare PIN