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NPI Code Detail

MEDICARE: EMILY MAWYER

MEDICARE:   EMILY  MAWYER
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1710833157
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILY MAWYER
Provider Business Mailing Address
First Line : 401 BROADWAY AVE N APT 233
Second Line :
City : ROCHESTER
State : MN
Zip : 55906-6007
Country : US
Telephone Number : 828-320-1694
Fax Number :
Provider Business Practice Location Address
First Line : 200 1ST ST SW
Second Line :
City : ROCHESTER
State : MN
Zip : 55905-0002
Country : US
Telephone Number : 507-284-2511
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/09/2026
Last Update Date : 03/09/2026

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Directions to “ EMILY MAWYER ” Practice Location

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