Individual provider · Type 1 NPI

Aemelia Anne Tallen-Whited, CPNP

Pediatric Nurse Practitioner · Kenosha, WI

NPI number 1831402734 Active

Practice location

6308 8th Ave, Suite 1040
Kenosha, WI 53143-5031

Fax (262) 656-3415

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X4695-33 (WI)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1831402734

Aemelia Anne Tallen-Whited, CPNP's National Provider Identifier is 1831402734, issued on Jul 20, 2010. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Kenosha, WI. The record was last updated on Mar 4, 2013.