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NPI 1033817077

NPI 1033817077 : EMILY MARIE YEBRA APRN, AGNP-C : CHARLOTTE, NC

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General NPI Number Information
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    NPI Number           |    1033817077
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    Entity Type          |    Individual 
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    Provider Name        |    EMILY MARIE YEBRA APRN, AGNP-C
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    02/20/2023
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    Last Update Date     |    12/31/2025
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Provider Practice Location Address
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    Address Line         |    525 N TRYON ST STE 1600 
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    City                 |    CHARLOTTE
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    State                |    NC
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    Zip                  |    28202-0213
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    Country              |    US
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    Telephone            |    866-849-0692
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    Fax                  |    888-973-8821
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Provider Business Mailing Address
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    Address Line         |    PO BOX 211699 
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    City                 |    EAGAN
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    State                |    MN
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    Zip                  |    55121-3699
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    Country              |    US
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    Telephone            |    866-849-0692
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    Fax                  |    888-973-8821
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    163W00000X
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    Taxonomy Name        |    Registered Nurse
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    License Number       |    RN.1663294
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    License Number State |    CO
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Taxonomy #2
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    Taxonomy Code        |    363LG0600X
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    Taxonomy Name        |    Gerontology Nurse Practitioner
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    License Number       |    APN.0998499
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    License Number State |    CO
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Taxonomy #3
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    Taxonomy Code        |    363L00000X
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    Taxonomy Name        |    Nurse Practitioner
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    License Number       |    5018808
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    License Number State |    NC
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