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Emerald Waters Medical Clinic LLC

Nurse Practitioner in Niceville, FL · enumerated 2012 · authorized official Mauricia Stanton, Owner/Provider.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1306192216

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Registry record

Entity type Organization (Type 2)
Legal business name Emerald Waters Medical Clinic LLC
Practice address 1005 College Blvd W, Suite B, Niceville, FL, 32578
Phone (850) 279-6815
Fax (850) 279-6817
Enumeration date Jul 28, 2012
Last updated in NPPES Aug 3, 2022

Taxonomy & classification

363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Primary
363LA2200X Adult Health Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License ARNP3114742 (FL) Secondary
363LP2300X Primary Care Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary
363LW0102X Women's Health Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License ARNP3114742 (FL) Secondary

Authorized official

Name Mauricia Stanton
Title Owner/Provider
Phone (850) 582-6059

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Emerald Waters Medical Clinic LLC?
The NPI for Emerald Waters Medical Clinic LLC is 1306192216, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Emerald Waters Medical Clinic LLC?
NPPES lists Mauricia Stanton (Owner/Provider) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-08-03.