MEDICARE: EMILY NELMS FNP

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	363LP2300X	Primary Care Nurse Practitioner	101.0138833	VT

General Provider Information

NPI Number	:	1801745401
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMILY NELMS FNP

Provider Business Mailing Address
First Line	:	6 MOSS GLEN LN
Second Line	:
City	:	SOUTH BURLINGTON
State	:	VT
Zip	:	05403-7274
Country	:	US
Telephone Number	:	802-391-6849
Fax Number	:

Provider Business Practice Location Address
First Line	:	55 MAIN ST STE 1
Second Line	:
City	:	ESSEX JUNCTION
State	:	VT
Zip	:	05452-6100
Country	:	US
Telephone Number	:	802-316-8990
Fax Number	:

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

Provider Enumeration Date	:	01/26/2026
Last Update Date	:	03/09/2026

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