Provider Demographics
NPI:1093698631
Name:LEFEBER, EMILY JEAN (FNP-C)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:JEAN
Last Name:LEFEBER
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6692 WINTERGREEN TRL
Mailing Address - Street 2:
Mailing Address - City:SOBIESKI
Mailing Address - State:WI
Mailing Address - Zip Code:54171-9628
Mailing Address - Country:US
Mailing Address - Phone:920-680-8224
Mailing Address - Fax:
Practice Address - Street 1:6692 WINTERGREEN TRL
Practice Address - Street 2:
Practice Address - City:SOBIESKI
Practice Address - State:WI
Practice Address - Zip Code:54171-9628
Practice Address - Country:US
Practice Address - Phone:920-680-8224
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-30
Last Update Date:2025-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI17198-33363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily