MEDICARE: LEE ANNE HELLESTO ANP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	884	AK
2	363LF0000X	Family Nurse Practitioner	201350015NP	OR

General Provider Information

NPI Number	:	1053336990
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LEE ANNE HELLESTO ANP

Provider Business Mailing Address
First Line	:	19686 HOLLYGRAPE ST
Second Line	:
City	:	BEND
State	:	OR
Zip	:	97702-2688
Country	:	US
Telephone Number	:	541-241-6181
Fax Number	:

Provider Business Practice Location Address
First Line	:	888 NW HILL ST STE 3
Second Line	:
City	:	BEND
State	:	OR
Zip	:	97703-2942
Country	:	US
Telephone Number	:	541-241-6181
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/13/2006
Last Update Date	:	09/03/2015

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Directions to “ LEE ANNE HELLESTO ANP” Practice Location

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