| Doctor Name: | MS. MARY ELIZABETH HELLER |
| NPI Number: | 1700084894 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | R.N.,M.S.,C.F.N.P. |
| License Number: | 428570 |
| Business Practice Address: | 235 Sierra Park Road Suite E Mammoth Lakes, CA - 935460660 |
| Business Phone Number: | 7609342551 |
| Business Fax Number: | 7609244081 |
| Mailing Address: | Po Box 1765, MAMMOTH LAKES |
| State: | CA |
| Postal Code: | 935461765 |
| Phone Number: | 7609342894 |
| Fax Number: | 7609244081 |
| NPI Enumeration Date: | 07/10/2007 |
| NPI Last Update Date: | 07/10/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 428570 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |