Provider Demographics
NPI:1942667027
Name:VENTRE, EMILY LUCREZIA (FNP-C)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:LUCREZIA
Last Name:VENTRE
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6627 WOODMONT PL
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28211-5686
Mailing Address - Country:US
Mailing Address - Phone:980-418-4402
Mailing Address - Fax:
Practice Address - Street 1:1310 GLENN AVE
Practice Address - Street 2:
Practice Address - City:KANNAPOLIS
Practice Address - State:NC
Practice Address - Zip Code:28081-9601
Practice Address - Country:US
Practice Address - Phone:704-932-0000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-01-21
Last Update Date:2025-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5008303363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC13684313OtherCAQH
13684313OtherCAQH