Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Emily Brooke Null, PA-C

Individual provider Physician Assistant · NPI 1720861206

Emily Brooke Null, PA-C is a Physician Assistant in Vienna, Idaho. Licensed in Illinois. Registered with an NPI since 2023.

Licensed in
IL
In the registry since
2023
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address may be wrong

The ZIP code does not match the city and state on this record. Call before visiting.

6665 IL-146 E
Vienna, ID 62995-9998
Phone: (618) 658-8331
Fax: (618) 549-8434
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 085.009966 (IL)

Record details

NPI number1720861206
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 17, 2023
Last updated in NPPESMay 20, 2026
Certification dateMay 20, 2026
Mailing address6665 Il-146 E, Vienna, IL 62995-9998