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NPI Code Detail

MEDICARE: EMMA RENAY HELMSTETTER

MEDICARE:   EMMA RENAY HELMSTETTER
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
1363A00000XPhysician Assistant0010-16125NC

General Provider Information

NPI Number : 1639046386
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMMA RENAY HELMSTETTER
Provider Business Mailing Address
First Line : 11401 CASH VALLEY RD NW
Second Line :
City : LAVALE
State : MD
Zip : 21502-6056
Country : US
Telephone Number : 301-707-6320
Fax Number :
Provider Business Practice Location Address
First Line : 4420 LAKE BOONE TRL
Second Line :
City : RALEIGH
State : NC
Zip : 27607-7505
Country : US
Telephone Number : 919-784-3100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/18/2025
Last Update Date : 01/14/2026

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Directions to “ EMMA RENAY HELMSTETTER ” Practice Location

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