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Aemelia Anne Tallen-whited, CPNP
Pediatric Nurse Practitioner in Kenosha, Wisconsin
NPI 1831402734

Aemelia Anne Tallen-whited is a Pediatric Nurse Practitioner based in Kenosha, WI and is specialized in Pediatrics. Aemelia Anne Tallen-whited practices in Kenosha, WI and has the professional credentials of CPNP. The NPI Number for Aemelia Anne Tallen-whited is 1831402734 and holds a License No. 4695-33 (Wisconsin).

The current practice location address for Aemelia Anne Tallen-whited is 6308 8Th Ave, Kenosha, WI and can be reached out via phone at 262-653-5437 and via fax at 262-656-3415.

Location: 6308 8Th Ave, Kenosha, WI, 53143-5031
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Provider Profile Details
NPI Number
1831402734
Provider Name
Aemelia Anne Tallen-whited
Credential
CPNP
Provider Entity Type
Individual
Gender
Female
Address
6308 8Th Ave, Kenosha, WI, 53143-5031
Phone Number
262-653-5437
Fax Number
262-656-3415
Provider Enumeration Date
07/20/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4695-33 01 WI LICENSE
1831402734 05 WI
institution
Provider Business Practice Location Address Details
Address
6308 8Th Ave
City
State
Zip
53143-5031
Phone Number
262-653-5437
Fax Number
262-656-3415
person
Provider Business Mailing Address Details
Address
6308 8Th Ave
City
State
Zip
53143-5031
Phone Number
262-653-5437
Fax Number
262-656-3415
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
4695-33 (Wisconsin)
Definition
Definition to come...
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