MEDICARE: EMILY BARTLETT PA-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
1	363AM0700X	Medical Physician Assistant	0010-16289	NC
2	363A00000X	Physician Assistant	0010-16289	NC

General Provider Information

NPI Number	:	1770393076
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMILY BARTLETT PA-C

Provider Business Mailing Address
First Line	:	210 TOWNE VILLAGE DR
Second Line	:
City	:	CARY
State	:	NC
Zip	:	27513-8910
Country	:	US
Telephone Number	:	919-859-3373
Fax Number	:

Provider Business Practice Location Address
First Line	:	210 TOWNE VILLAGE DR
Second Line	:
City	:	CARY
State	:	NC
Zip	:	27513-8910
Country	:	US
Telephone Number	:	919-859-3373
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/09/2025
Last Update Date	:	05/04/2026

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Directions to “ EMILY BARTLETT PA-C” Practice Location

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