Provider Demographics
NPI:1710435227
Name:MAERTENS, NEVADA HELGET (MS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:NEVADA
Middle Name:HELGET
Last Name:MAERTENS
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:NEVADA
Other - Middle Name:JAYE
Other - Last Name:HELGET
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, CCC-SLP
Mailing Address - Street 1:150 ST ANDREWS DR STE 310
Mailing Address - Street 2:
Mailing Address - City:MANKATO
Mailing Address - State:MN
Mailing Address - Zip Code:56001-8805
Mailing Address - Country:US
Mailing Address - Phone:507-766-1359
Mailing Address - Fax:
Practice Address - Street 1:150 ST ANDREWS DR STE 310
Practice Address - Street 2:
Practice Address - City:MANKATO
Practice Address - State:MN
Practice Address - Zip Code:56001-8805
Practice Address - Country:US
Practice Address - Phone:507-766-1359
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-13
Last Update Date:2021-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN9645235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist