Healthcare Provider Details

I. General information

NPI: 1619503927
Provider Name (Legal Business Name): EMILY KARA MARZBANI RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/18/2020
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4420 LAKE BOONE TRL
RALEIGH NC
27607-7505
US

IV. Provider business mailing address

104 CHARMWOOD CT
CARY NC
27518-7102
US

V. Phone/Fax

Practice location:
  • Phone: 919-631-5993
  • Fax:
Mailing address:
  • Phone: 919-631-5993
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number280041
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number6999
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: