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NPI Code Detail

MEDICARE: MRS. CHRISTA JEANNE HEMMILA APNP, FNP-C, NP-BC

MEDICARE: MRS. CHRISTA JEANNE HEMMILA APNP, FNP-C, NP-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
1363LF0000XFamily Nurse Practitioner8253-33WI

General Provider Information

NPI Number : 1790286342
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CHRISTA JEANNE HEMMILA APNP, FNP-C, NP-BC
Provider Business Mailing Address
First Line : 190 GRAND SEASONS DR
Second Line :
City : WAUPACA
State : WI
Zip : 54981-8219
Country : US
Telephone Number : 715-258-3650
Fax Number :
Provider Business Practice Location Address
First Line : 190 GRAND SEASONS DR
Second Line :
City : WAUPACA
State : WI
Zip : 54981-8219
Country : US
Telephone Number : 711-541-2198
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/27/2018
Last Update Date : 08/27/2025

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