Healthcare Provider Details

I. General information

NPI: 1447226857
Provider Name (Legal Business Name): HELEN R. LINK APNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/24/2006
Last Update Date: 08/02/2024
Certification Date: 08/02/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4320 SPRING CREEK RD STE 13
ROCKFORD IL
61107-1157
US

IV. Provider business mailing address

5320 COACH LITE TRL
LOVES PARK IL
61111-3515
US

V. Phone/Fax

Practice location:
  • Phone: 815-988-0779
  • Fax:
Mailing address:
  • Phone: 815-988-0779
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number441-033
License Number StateWI
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number277000032
License Number StateIL
# 3
Primary TaxonomyN
Taxonomy Code163WP0807X
TaxonomyChild & Adolescent Psychiatric/Mental Health Registered Nurse
License Number98740-030
License Number StateWI
# 4
Primary TaxonomyN
Taxonomy Code163WP0809X
TaxonomyAdult Psychiatric/Mental Health Registered Nurse
License Number98740-030
License Number StateWI
# 5
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number441-33
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: