Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0000X | Nurse Practitioner - Neonatal | 5107-33 | WI |
N | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | 5107-33 | WI |
NPI | 1033462445 |
---|---|
Provider Name | Anne Therese Helmer |
First Address | Wauwatosa, WI 53226-4874 |
Second Address | Wauwatosa, WI 53226-4874 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/10/2012 |
Last Update Date | 10/11/2016 |