Provider Demographics
NPI:1033349808
Name:CALVERT, EMMA ELIZABETH (PA-C)
Entity type:Individual
Prefix:MISS
First Name:EMMA
Middle Name:ELIZABETH
Last Name:CALVERT
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:UNIT 6050 BOX 23
Mailing Address - Street 2:
Mailing Address - City:DPO
Mailing Address - State:AE
Mailing Address - Zip Code:09892-0023
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:ROOM H-804, SA-1
Practice Address - Street 2:2401 E STREET, N.W.
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20522-0108
Practice Address - Country:US
Practice Address - Phone:757-984-7155
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-07-15
Last Update Date:2025-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPA60372079363A00000X
CAPA20413363A00000X
NY023414-1363A00000X
VA0110006617363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1033349808Medicaid
CA1033349808Medicaid