Provider Demographics
NPI:1598301376
Name:STULL, EMILY MAE (APRN)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:MAE
Last Name:STULL
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 85
Mailing Address - Street 2:
Mailing Address - City:GERING
Mailing Address - State:NE
Mailing Address - Zip Code:69341-0085
Mailing Address - Country:US
Mailing Address - Phone:308-765-7029
Mailing Address - Fax:308-633-8450
Practice Address - Street 1:455 M ST
Practice Address - Street 2:
Practice Address - City:GERING
Practice Address - State:NE
Practice Address - Zip Code:69341-3124
Practice Address - Country:US
Practice Address - Phone:308-765-7029
Practice Address - Fax:308-633-8450
Is Sole Proprietor?:No
Enumeration Date:2019-11-26
Last Update Date:2025-08-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NE74428163WM0705X
NE113111363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical