Doctor Name: | MICHELLE HELM |
NPI Number: | 1134522816 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA |
License Number: | PA00779 |
Business Practice Address: | 1830 Mineral Spring Ave Unit 1 North Providence, RI - 029043864 |
Business Phone Number: | 4013511900 |
Business Fax Number: | |
Mailing Address: | 1011 South St, WALPOLE |
State: | MA |
Postal Code: | 020812418 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 10/08/2014 |
NPI Last Update Date: | 10/08/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | PA00779 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | RI |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |