Talley, Claudia

Talley, Claudia is an sole proprietor health care provider with primary practice located at 10400 75Th St , Kenosha WI 53142-7884. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Talley, Claudia can be contacted via phone (262) 948-7030.

Contact Information

Primary practice address
10400 75Th St Kenosha WI 53142-7884
Phone: (262) 948-7030
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 9865 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 9865 Wisconsin

Profile Details

NPI number 1831719962
LBN Legal business name Talley, Claudia
Credentials FNP-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 18th, 2020
Last updated Oct 23rd, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831719962 NPPES
Wisconsin MEDICAID 100103663

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