NPI 1104783646 · live from the CMS NPI Registry
Emma Grace Boggs
Physician Assistant in Huntington, WV. National Provider Identifier 1104783646, active.
NPI record
| NPI | 1104783646 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 1542 Spring Valley Dr, Huntington, WV 25704 |
| Practice phone | 304-691-1700 |
| Mailing address | 77 Leslie Ct, Greenup, KY 41144 |
| Enumerated | January 7, 2026 |
| Last updated | January 7, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant primary | 363A00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.