Provider Demographics
NPI:1972248391
Name:ORGAN, EMILY JEAN (APNP)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:JEAN
Last Name:ORGAN
Suffix:
Gender:F
Credentials:APNP
Other - Prefix:
Other - First Name:EMILY
Other - Middle Name:JEAN
Other - Last Name:HALVERSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APNP
Mailing Address - Street 1:16650 W BLUEMOUND RD STE 200
Mailing Address - Street 2:
Mailing Address - City:BROOKFIELD
Mailing Address - State:WI
Mailing Address - Zip Code:53005-5959
Mailing Address - Country:US
Mailing Address - Phone:262-827-9200
Mailing Address - Fax:
Practice Address - Street 1:16650 W BLUEMOUND RD STE 200
Practice Address - Street 2:
Practice Address - City:BROOKFIELD
Practice Address - State:WI
Practice Address - Zip Code:53005-5959
Practice Address - Country:US
Practice Address - Phone:262-827-9200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-29
Last Update Date:2022-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI235472-30163WC0200X
WI13071363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine