AEMELIA ANNE TALLEN-WHITED

KENOSHA, WI
NPI1831402734
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
(Licence: WI  4695-33)
Enumeration Date2010-07-20
Last Update Date2013-03-04
Business Address
-- AEMELIA ANNE TALLEN-WHITED CPNP
6308 8TH AVE SUITE 1040
KENOSHA, WI 53143-5031
Phone number: 262-653-5437
Mailing Address
-- AEMELIA ANNE TALLEN-WHITED CPNP
6308 8TH AVE SUITE 1040
KENOSHA, WI 53143-5031
Phone number: 262-653-5437
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