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NPI Code Detail

MEDICARE: EMILY ANNE CREASE PA-C

MEDICARE: EMILY ANNE CREASE PA-C
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
1363A00000XPhysician Assistant0010-14331NC
2363AM0700XMedical Physician Assistant0010-14331NC

General Provider Information

NPI Number : 1740028018
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILY ANNE CREASE PA-C
Provider Business Mailing Address
First Line : PO BOX 60447
Second Line :
City : CHARLOTTE
State : NC
Zip : 28260-0447
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 13460 PLAZA ROAD EXT STE 100
Second Line :
City : CHARLOTTE
State : NC
Zip : 28215-8923
Country : US
Telephone Number : 980-302-7590
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/19/2024
Last Update Date : 12/09/2025

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Directions to “ EMILY ANNE CREASE PA-C” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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