Healthcare Provider Details

I. General information

NPI: 1801788088
Provider Name (Legal Business Name): EMILY IRENE NOLAN APRN-CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/21/2025
Last Update Date: 11/06/2025
Certification Date: 11/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

220 N MILLEDGE AVE
ATHENS GA
30601-3804
US

IV. Provider business mailing address

1701 APPLE VALLEY CT
WATKINSVILLE GA
30677-3069
US

V. Phone/Fax

Practice location:
  • Phone: 864-710-4385
  • Fax:
Mailing address:
  • Phone: 864-710-4385
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License NumberAPRN-CNM292611
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: