Daniel James Emborsky Jr., MSN RN

Primary specialty

School Registered NurseTaxonomy code 163WS0200X

License

RN132974 Issued in AZ

Practice address

3550 Prospector St
Kingman, AZ 86401-1900

Phone

(928) 753-6216

Fax

(928) 753-4042

NPI assigned

May 13, 2020

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science - Nursing, Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1589328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589328000000",
    "number": "1336761303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3550 PROSPECTOR ST",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864011900",
            "telephone_number": "928-753-6216",
            "fax_number": "928-753-4042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3550 PROSPECTOR ST",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864011900",
            "telephone_number": "928-753-6216",
            "fax_number": "928-753-4042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMBORSKY",
        "first_name": "DANIEL",
        "middle_name": "JAMES",
        "name_suffix": "Jr.",
        "credential": "MSN RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-13",
        "last_updated": "2020-05-13",
        "certification_date": "2020-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "AZ",
            "license": "RN132974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elk Ridge Kingman Pharmacy
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• Amy Elsbury, FNP-BC
• Alizondrya Catrina Eplin, CPHT
• Ernest L Harman MD Zia Way LLC
• Juvy Escalante, PA
• Lindsay J Escobedo, DO, ND, MBA
• Berenice Jeacel Espinoza, FNP, RN

• School Registered Nurse in Kingman, AZ
• Providers in Kingman, AZ by specialty
• School Registered Nurse in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.