Provider Demographics
NPI:1679294268
Name:LE, EMMY THUY (DNP, APRN, FNP-BC)
Entity Type:Individual
Prefix:
First Name:EMMY
Middle Name:THUY
Last Name:LE
Suffix:
Gender:F
Credentials:DNP, APRN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 840185
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64184-0185
Mailing Address - Country:US
Mailing Address - Phone:314-991-0137
Mailing Address - Fax:314-991-0603
Practice Address - Street 1:450 N NEW BALLAS RD STE 204
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63141-6836
Practice Address - Country:US
Practice Address - Phone:314-991-0137
Practice Address - Fax:314-991-0603
Is Sole Proprietor?:No
Enumeration Date:2022-09-12
Last Update Date:2023-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2022062543363LF0000X, 363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily