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

Emerald Waters Medical Clinic LLC

Organization Nurse Practitioner · NPI 1306192216

Emerald Waters Medical Clinic LLC provides Nurse Practitioner services in Niceville, Florida. Licensed in Florida. Registered with an NPI since 2012.

Licensed in
FL
In the registry since
2012
Specialties on file
4
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1005 College Blvd W Ste B
Niceville, FL 32578-1060
Phone: (850) 279-6815
Fax: (850) 279-6817
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence ARNP3114742 (FL)
Primary Care Nurse Practitioner Taxonomy 363LP2300X
Women's Health Nurse Practitioner Taxonomy 363LW0102X · Licence ARNP3114742 (FL)

Record details

NPI number1306192216
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mauricia Stanton — Owner/Provider · (850) 582-6059
NPI enumeratedJuly 28, 2012
Last updated in NPPESAugust 3, 2022
Certification dateAugust 3, 2022
Mailing address1005 College Blvd W, Suite B, Niceville, FL 32578-1060

Other providers in Niceville