MEDICARE: EMMAS, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner

General Provider Information

NPI Number	:	1073472379
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EMMAS, PLLC

Provider Business Mailing Address
First Line	:	3018 W 56TH ST
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55410-2474
Country	:	US
Telephone Number	:	612-276-2526
Fax Number	:

Provider Business Practice Location Address
First Line	:	3018 W 56TH ST
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55410-2474
Country	:	US
Telephone Number	:	612-276-2526
Fax Number	:

Authorized Official
Title or Position	:	CO-CEO
Name	:	SAMANTHA JO CARRY
Credential	:	APRN, FNP-C
Telephone Number	:	218-409-9100

Provider Enumeration Date	:	01/21/2026
Last Update Date	:	04/18/2026

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