Provider Demographics
NPI:1053505206
Name:EMOKIDI, HENRIETTA (DNP, APRN)
Entity type:Individual
Prefix:MRS
First Name:HENRIETTA
Middle Name:
Last Name:EMOKIDI
Suffix:
Gender:F
Credentials:DNP, APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 140665
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99514-0665
Mailing Address - Country:US
Mailing Address - Phone:907-317-1703
Mailing Address - Fax:907-278-4358
Practice Address - Street 1:PO BOX 140665
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99514-0665
Practice Address - Country:US
Practice Address - Phone:907-317-1703
Practice Address - Fax:907-278-4358
Is Sole Proprietor?:No
Enumeration Date:2007-08-30
Last Update Date:2024-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK436940171M00000X
AK128333363LF0000X, 363LP2300X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No171M00000XOther Service ProvidersCase Manager/Care Coordinator
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care