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NPI Code Detail

MEDICARE: HELEN TELLEGEN I PMHNP

MEDICARE: HELEN TELLEGEN I PMHNP
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
1363L00000XNurse PractitionerAP129340TX
2363LP0808XPsychiatric/Mental Health Nurse PractitionerAP129340TX

General Provider Information

NPI Number : 1932573920
Entity Type Code : Individual
Provider Name (Legal Business Name) : HELEN TELLEGEN I PMHNP
Provider Business Mailing Address
First Line : 2705 W 49TH 1/2 ST
Second Line :
City : AUSTIN
State : TX
Zip : 78731-5001
Country : US
Telephone Number : 713-562-3951
Fax Number :
Provider Business Practice Location Address
First Line : 6222 N LAMAR BLVD
Second Line :
City : AUSTIN
State : TX
Zip : 78752-4004
Country : US
Telephone Number : 713-562-3951
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/14/2015
Last Update Date : 02/24/2021

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Directions to “ HELEN TELLEGEN I PMHNP” Practice Location

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