Individual
TELLY HUNTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
725 AMERICAN AVE, WAUKESHA, WI 53188-5031
(262) 928-7087
Mailing address
1786 KELBERG AVE, HOFFMAN ESTATES, IL 60192-4808
(847) 660-8754
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
15626-33
WI
363LF0000X
Family Nurse Practitioner
Primary
15626
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
IL
Other
Enumeration date
07/08/2024
Last updated
11/06/2024
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