Provider Demographics
NPI:1396543724
Name:EMMERT, JULIE
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:
Last Name:EMMERT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:856 ALLIED RD LOT 35
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:NE
Mailing Address - Zip Code:68123-4118
Mailing Address - Country:US
Mailing Address - Phone:402-510-1931
Mailing Address - Fax:
Practice Address - Street 1:301 CEDARDALE RD APT 105
Practice Address - Street 2:
Practice Address - City:PAPILLION
Practice Address - State:NE
Practice Address - Zip Code:68046-2828
Practice Address - Country:US
Practice Address - Phone:402-510-1931
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-03
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health