Provider Demographics
NPI:1386984821
Name:HELLMAN, TALIA S (FNP-BC, APNP)
Entity type:Individual
Prefix:MRS
First Name:TALIA
Middle Name:S
Last Name:HELLMAN
Suffix:
Gender:F
Credentials:FNP-BC, APNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:12800 N LAKE SHORE DR
Mailing Address - Street 2:STUDENT HEALTH CENTER
Mailing Address - City:MEQUON
Mailing Address - State:WI
Mailing Address - Zip Code:53097-2418
Mailing Address - Country:US
Mailing Address - Phone:262-243-4575
Mailing Address - Fax:262-243-3574
Practice Address - Street 1:12800 N LAKE SHORE DR
Practice Address - Street 2:STUDENT HEALTH CENTER
Practice Address - City:MEQUON
Practice Address - State:WI
Practice Address - Zip Code:53097-2418
Practice Address - Country:US
Practice Address - Phone:262-243-4575
Practice Address - Fax:262-243-3574
Is Sole Proprietor?:No
Enumeration Date:2013-02-20
Last Update Date:2013-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI5230-33363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily