Provider Demographics
NPI:1790286342
Name:HEMMILA, CHRISTA JEANNE (APNP, FNP-C, NP-BC)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTA
Middle Name:JEANNE
Last Name:HEMMILA
Suffix:
Gender:F
Credentials:APNP, FNP-C, NP-BC
Other - Prefix:MISS
Other - First Name:CHRISTA
Other - Middle Name:JEANNE
Other - Last Name:RICHMOND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:E1774 GARFIELD LN
Mailing Address - Street 2:
Mailing Address - City:WAUPACA
Mailing Address - State:WI
Mailing Address - Zip Code:54981-8213
Mailing Address - Country:US
Mailing Address - Phone:715-412-1987
Mailing Address - Fax:
Practice Address - Street 1:190 GRAND SEASONS DR
Practice Address - Street 2:
Practice Address - City:WAUPACA
Practice Address - State:WI
Practice Address - Zip Code:54981-8219
Practice Address - Country:US
Practice Address - Phone:711-541-2198
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-27
Last Update Date:2018-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI8253-33363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily