Provider Demographics
NPI:1093959520
Name:SUDWEEKS, EMILY (RN, MSN, FNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:EMILY
Middle Name:
Last Name:SUDWEEKS
Suffix:
Gender:F
Credentials:RN, MSN, FNP-BC
Other - Prefix:MISS
Other - First Name:EMILY
Other - Middle Name:
Other - Last Name:SEARS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:200 HEALTH PARK DR STE 100
Mailing Address - Street 2:
Mailing Address - City:GARNER
Mailing Address - State:NC
Mailing Address - Zip Code:27529-4679
Mailing Address - Country:US
Mailing Address - Phone:919-773-1223
Mailing Address - Fax:919-773-1955
Practice Address - Street 1:200 HEALTH PARK DR STE 100
Practice Address - Street 2:
Practice Address - City:GARNER
Practice Address - State:NC
Practice Address - Zip Code:27529
Practice Address - Country:US
Practice Address - Phone:919-773-1223
Practice Address - Fax:919-773-1955
Is Sole Proprietor?:No
Enumeration Date:2009-04-28
Last Update Date:2024-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5006711363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily