Provider Demographics
NPI:1003464157
Name:PELLEGRINI, EMILY KATHERINE (NP (AGPCNP))
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:KATHERINE
Last Name:PELLEGRINI
Suffix:
Gender:F
Credentials:NP (AGPCNP)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2018 MILL GATE LN
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27519-7194
Mailing Address - Country:US
Mailing Address - Phone:502-644-9752
Mailing Address - Fax:
Practice Address - Street 1:35 MEMORIAL DR
Practice Address - Street 2:
Practice Address - City:PINEHURST
Practice Address - State:NC
Practice Address - Zip Code:28374-8708
Practice Address - Country:US
Practice Address - Phone:910-715-5901
Practice Address - Fax:910-715-5902
Is Sole Proprietor?:No
Enumeration Date:2019-09-02
Last Update Date:2025-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5016619363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health