Provider Demographics
NPI:1497223861
Name:BAKER, EMILY KURZON (AGNP-C)
Entity Type:Individual
Prefix:MRS
First Name:EMILY
Middle Name:KURZON
Last Name:BAKER
Suffix:
Gender:F
Credentials:AGNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 EASTOWNE DR
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27514-2286
Mailing Address - Country:US
Mailing Address - Phone:984-974-7244
Mailing Address - Fax:984-974-2985
Practice Address - Street 1:100 EASTOWNE DR
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27514-2286
Practice Address - Country:US
Practice Address - Phone:984-974-7244
Practice Address - Fax:984-974-2985
Is Sole Proprietor?:No
Enumeration Date:2018-11-05
Last Update Date:2021-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCBAKE-FL9Z3O363LG0600X, 363LP2300X, 363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
AG06180123OtherAMERICAN ACADEMY OF NURSE PRACTITIONERS CERTIFICATION BOARD
NCBAKE-FL9Z3OOtherNORTH CAROLINA BOARD OF NURSING - CERTIFICATE OF NURSE PRACTITIONER REGISTRATION