Individual
EMILY LEOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3250 FREEDOM DR, CHARLOTTE, NC 28208-2817
(704) 709-6009
Mailing address
PO BOX 746724, ATLANTA, GA 30374-6724
(773) 644-3941
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
209020941
IL
363LF0000X
Family Nurse Practitioner
Primary
5020622
NC
Other
Enumeration date
10/26/2020
Last updated
08/13/2024
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