Healthcare Provider Details

I. General information

NPI: 1972433704
Provider Name (Legal Business Name): PATRICIA KARN HELGERSON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/22/2026
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

S6520 STATE HIGHWAY 131
VIOLA WI
54664-8528
US

IV. Provider business mailing address

12496 YANKEE TOWN RD APARTMENT, SUITE, UNIT, BUILDING, FLOOR
SOLDIER GROVE WI
54655-7586
US

V. Phone/Fax

Practice location:
  • Phone: 608-627-0148
  • Fax: 608-627-0188
Mailing address:
  • Phone: 608-627-0148
  • Fax: 608-627-0118

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License Number105084-30
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: