Healthcare Provider Details

I. General information

NPI: 1164369955
Provider Name (Legal Business Name): EMILY BREANNE HUERTER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: EMILY BREANNE MAURER

II. Dates (important events)

Enumeration Date: 04/30/2026
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 CHARLES PL
MANHATTAN KS
66502-2750
US

IV. Provider business mailing address

3226 SW MUNSON AVE
TOPEKA KS
66604-1793
US

V. Phone/Fax

Practice location:
  • Phone: 785-537-4200
  • Fax: 785-537-4354
Mailing address:
  • Phone: 913-219-4567
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: