| Doctor Name: | HELEN ANDERSON |
| NPI Number: | 1619391364 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNPC |
| License Number: | F1113319 |
| Business Practice Address: | 520 8th Ave Ne Demotte, IN - 463109108 |
| Business Phone Number: | 2199873581 |
| Business Fax Number: | |
| Mailing Address: | 7749 W 600 N, FAIR OAKS |
| State: | IN |
| Postal Code: | 479438520 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 02/14/2014 |
| NPI Last Update Date: | 02/14/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | F1113319 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |