Provider Demographics
NPI:1801788088
Name:NOLAN, EMILY IRENE (APRN-CNM)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:IRENE
Last Name:NOLAN
Suffix:
Gender:F
Credentials:APRN-CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1701 APPLE VALLEY CT
Mailing Address - Street 2:
Mailing Address - City:WATKINSVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30677-3069
Mailing Address - Country:US
Mailing Address - Phone:864-710-4385
Mailing Address - Fax:
Practice Address - Street 1:220 N MILLEDGE AVE
Practice Address - Street 2:
Practice Address - City:ATHENS
Practice Address - State:GA
Practice Address - Zip Code:30601-3804
Practice Address - Country:US
Practice Address - Phone:864-710-4385
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-21
Last Update Date:2025-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN292611176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife