MEDICARE: KAREN M HELLRIEGEL FNP-BC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	RN106534	GA

General Provider Information

NPI Number	:	1639407893
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAREN M HELLRIEGEL FNP-BC

Provider Business Mailing Address
First Line	:	13570 N MAIN ST
Second Line	:
City	:	TRENTON
State	:	GA
Zip	:	30752-2012
Country	:	US
Telephone Number	:	706-657-7575
Fax Number	:	706-657-2958

Provider Business Practice Location Address
First Line	:	118 E GIRARD AVE
Second Line	:
City	:	CEDARTOWN
State	:	GA
Zip	:	30125-2778
Country	:	US
Telephone Number	:	678-901-3331
Fax Number	:	678-901-3336

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/30/2009
Last Update Date	:	04/08/2014

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