Provider Demographics
NPI:1962579938
Name:WARD-TYLER, HELLIAN GEAN (RN)
Entity type:Individual
Prefix:MRS
First Name:HELLIAN
Middle Name:GEAN
Last Name:WARD-TYLER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3850 N 52ND ST
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53216-2308
Mailing Address - Country:US
Mailing Address - Phone:414-445-3862
Mailing Address - Fax:
Practice Address - Street 1:3850 N 52ND ST
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53216-2308
Practice Address - Country:US
Practice Address - Phone:414-445-3862
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI57606-030163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health