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NPI Code Detail

MEDICARE: EMILY RENEE FLOREZ NP-C

MEDICARE: EMILY RENEE FLOREZ NP-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
1363LF0000XFamily Nurse PractitionerF11180841TN

General Provider Information

NPI Number : 1780154245
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILY RENEE FLOREZ NP-C
Provider Business Mailing Address
First Line : 409 ANDOVER CT
Second Line :
City : KINGSPORT
State : TN
Zip : 37663-3087
Country : US
Telephone Number : 276-708-6956
Fax Number :
Provider Business Practice Location Address
First Line : 2300 W STONE DR
Second Line :
City : KINGSPORT
State : TN
Zip : 37660-2360
Country : US
Telephone Number : 423-246-4961
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/27/2018
Last Update Date : 12/15/2025

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