Provider Demographics
NPI:1992698260
Name:LITTLE WHITEMAN, EMMY LOU (ASSOCIATES)
Entity type:Individual
Prefix:MS
First Name:EMMY
Middle Name:LOU
Last Name:LITTLE WHITEMAN
Suffix:
Gender:F
Credentials:ASSOCIATES
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 234
Mailing Address - Street 2:
Mailing Address - City:FORT WASHAKIE
Mailing Address - State:WY
Mailing Address - Zip Code:82514-0234
Mailing Address - Country:US
Mailing Address - Phone:307-709-2647
Mailing Address - Fax:
Practice Address - Street 1:24 GREAT PLAINS RD.
Practice Address - Street 2:
Practice Address - City:ARAPAHOE
Practice Address - State:WY
Practice Address - Zip Code:82510
Practice Address - Country:US
Practice Address - Phone:307-856-8091
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-03
Last Update Date:2025-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
172V00000X
094172V00000X
WY094172V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker