| Emily Prouse, RD, LD | |
|
1512 W 6th Ave Ste B, Emporia, KS 66801-2400 | |
| (620) 208-6577 | |
| (620) 412-8954 |
| Full Name | Emily Prouse |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 1512 W 6th Ave Ste B, Emporia, Kansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932501467 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 1344 (Kansas) | Primary |
| Provider Name | Brave Counseling And Consultation Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1285356030 PECOS PAC ID: 0547631624 Enrollment ID: O20230127002122 |
| Mailing Address | Practice Location Address |
|---|---|
| Emily Prouse, RD, LD 1512 W 6th Ave Ste B, Emporia, KS 66801-2400 Ph: (620) 208-6577 | Emily Prouse, RD, LD 1512 W 6th Ave Ste B, Emporia, KS 66801-2400 Ph: (620) 208-6577 |
Rachel Lauren Werling, RD Dietitian Medicare: Medicare Enrolled Practice Location: 1201 W 12th Ave, Emporia, KS 66801 Phone: 620-343-6800 Fax: 620-341-7821 | |
Mrs. Wilma B Malone, RD,LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1201 W 12th Ave, Emporia, KS 66801 Phone: 620-343-6800 Fax: 620-341-7821 | |
Ms. Cammy Sue Tucker, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1201 W 12th Ave, Emporia, KS 66801 Phone: 620-343-6800 |