Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Emily Catherine Laustsen, PHYSICIANASSISTANT

Individual provider Physician Assistant · NPI 1033345913

Emily Catherine Laustsen, PHYSICIANASSISTANT is a Physician Assistant in Berlin, Maryland. Qualified in 2009, 17 years ago. Practices with Tidalhealth Specialty Care LLC, a 366-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Maryland.

Years since qualifying
17
Licensed in
MD
In the registry since
2009
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Practice location Address checks out

9714 Healthway Dr
Berlin, MD 21811
Phone: (410) 641-4765
Fax: (410) 641-4762
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence C0003989 (MD)

Record details

NPI number1033345913
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedJune 5, 2009
Last updated in NPPESSeptember 27, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Tidalhealth Specialty Care Llc — 366 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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