Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | 44863 | AZ |
N | 207P00000X | Emergency Physician | MD.18514 | AL |
Y | 207PP0204X | Pediatric Emergency Physician | 44863 | AZ |
N | 208000000X | Pediatrician | 44863 | AZ |
N | 208000000X | Pediatrician | MD.18514 | AL |
N | 2080P0204X | Pediatric Emergency Doctor | 44863 | AZ |
NPI | 1760479919 |
---|---|
Provider Name | Dr. Michelle L Embling |
First Address | Scottsdale, AZ 85260-6562 |
Second Address | Scottsdale, AZ 85260-6562 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/10/2005 |
Last Update Date | 08/01/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
009928310 | (05) | AL |
102672 | (05) | AL |
146198 | (05) | AZ |
1760479919 | TRICARE SOUTH (01) | AL |
510-95529 | BCBS (01) | AL |
515-43725 | BCBS (01) | AL |
5864412 | AETNA (01) | AL |
G20413 | (02) | AL |