Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2100X | Nurse Practitioner - Acute Care | 5009192 | NC |
N | 363LG0600X | Nurse Practitioner - Gerontology | 5009192 | NC |
NPI | 1043755614 |
---|---|
Provider Name | Brooke Embler |
First Address | Charlotte, NC 28260-0447 |
Second Address | Winston Salem, NC 27103 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/01/2017 |
Last Update Date | 28/10/2020 |