Provider Demographics
NPI:1730339417
Name:LONGHENRY, EMILY ANN (APNP)
Entity type:Individual
Prefix:MRS
First Name:EMILY
Middle Name:ANN
Last Name:LONGHENRY
Suffix:
Gender:F
Credentials:APNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:307 N LINCOLN ST
Mailing Address - Street 2:
Mailing Address - City:CUBA CITY
Mailing Address - State:WI
Mailing Address - Zip Code:53807-1623
Mailing Address - Country:US
Mailing Address - Phone:608-574-4936
Mailing Address - Fax:
Practice Address - Street 1:1250 E BUSINESS HIGHWAY 151 STE D
Practice Address - Street 2:
Practice Address - City:PLATTEVILLE
Practice Address - State:WI
Practice Address - Zip Code:53818-3875
Practice Address - Country:US
Practice Address - Phone:608-470-2200
Practice Address - Fax:608-470-2200
Is Sole Proprietor?:No
Enumeration Date:2008-09-30
Last Update Date:2024-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI10172-33363LP0808X
WI158725-30163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163WH0200XNursing Service ProvidersRegistered NurseHome Health