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Individual

EMILY NOLAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
4000 MIAMISBURG CENTERVILLE RD STE 420, MIAMISBURG, OH 45342-7615
(937) 439-4145
(937) 439-4371
Mailing address
2518 SAINT ANNE WAY, DAYTON, OH 45458

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.006078RX
OH
363A00000X
Physician Assistant

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0368102
OH
Enumeration date
07/09/2019
Last updated
08/18/2025
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