Individual
KELLIE ELIZABETH HELMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, APNP, PMHNP-BC
Contact information
Practice address
610 SOUTH ST, GREEN LAKE, WI 54941-9496
(920) 638-3557
Mailing address
PO BOX 13, RIPON, WI 54971-0013
(920) 638-3557
(862) 333-0544
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
16481-33
WI
363L00000X
Nurse Practitioner
1648133
WI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
16481-33
WI
Other
Enumeration date
02/11/2025
Last updated
02/05/2026
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