Basic Information
| Provider Information | |||||||||
| NPI: | 1407811102 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | APPLETON | ||||||||
| FirstName: | EMILY | ||||||||
| MiddleName: | P | ||||||||
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| Credential: | PA-C, ATC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 35 WALKER ST | ||||||||
| Address2: | |||||||||
| City: | KITTERY | ||||||||
| State: | ME | ||||||||
| PostalCode: | 039041727 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2074394430 | ||||||||
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| Practice Location | |||||||||
| Address1: | 35 WALKER ST | ||||||||
| Address2: | |||||||||
| City: | KITTERY | ||||||||
| State: | ME | ||||||||
| PostalCode: | 039041727 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2074394430 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 04/18/2006 | ||||||||
| LastUpdateDate: | 05/02/2013 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2255A2300X | 67-001330 | NY | N | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Specialist/Technologist | Athletic Trainer | 363A00000X | PA001255 | ME | Y | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant |
No ID Information.