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NPI Code Detail

MEDICARE: EMILY MARIE YEBRA APRN, AGNP-C

MEDICARE:   EMILY MARIE YEBRA  APRN, AGNP-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
1363L00000XNurse Practitioner908137MS
2163W00000XRegistered NurseRN.1663294CO
3363L00000XNurse Practitioner5018808NC
4363LG0600XGerontology Nurse PractitionerAPN.0998499CO
5363L00000XNurse PractitionerGAA-NP004724GA

General Provider Information

NPI Number : 1033817077
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILY MARIE YEBRA APRN, AGNP-C
Provider Business Mailing Address
First Line : PO BOX 211699
Second Line :
City : EAGAN
State : MN
Zip : 55121-3699
Country : US
Telephone Number : 866-849-0692
Fax Number : 888-973-8821
Provider Business Practice Location Address
First Line : 525 N TRYON ST STE 1600
Second Line :
City : CHARLOTTE
State : NC
Zip : 28202-0213
Country : US
Telephone Number : 866-849-0692
Fax Number : 888-973-8821
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/20/2023
Last Update Date : 03/18/2026

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