MEDICARE: MS. EMILY RYMLAND 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	363L00000X	Nurse Practitioner	513610	CA
2	363LF0000X	Family Nurse Practitioner	513610	CA

General Provider Information

NPI Number	:	1912949777
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. EMILY RYMLAND FNP

Provider Business Mailing Address
First Line	:	PO BOX 7786
Second Line	:
City	:	TAHOE CITY
State	:	CA
Zip	:	96145-7786
Country	:	US
Telephone Number	:	916-804-6072
Fax Number	:

Provider Business Practice Location Address
First Line	:	2140 PEACHTREE RD NW STE 232
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30309-1316
Country	:	US
Telephone Number	:	916-804-6072
Fax Number	:	404-585-2688

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

Provider Enumeration Date	:	06/12/2006
Last Update Date	:	11/06/2023

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