Provider Demographics
NPI:1992713671
Name:EMMERLING, WILLIAM P (FNP C ED D)
Entity type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:P
Last Name:EMMERLING
Suffix:
Gender:M
Credentials:FNP C ED D
Other - Prefix:
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Mailing Address - Street 1:1490 W SUNSET RD STE 120
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89014-6635
Mailing Address - Country:US
Mailing Address - Phone:630-386-5832
Mailing Address - Fax:844-389-0835
Practice Address - Street 1:1490 W SUNSET RD STE 120
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89014-6635
Practice Address - Country:US
Practice Address - Phone:855-955-5428
Practice Address - Fax:844-389-0835
Is Sole Proprietor?:No
Enumeration Date:2006-08-04
Last Update Date:2022-11-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NVAPN000660363L00000X, 207RI0200X, 363LP2300X
CANP4183363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease