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NPI Code Detail

MEDICARE: JUDY ANNE HELGERSON NP

MEDICARE: JUDY ANNE HELGERSON NP
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
1363LF0000XFamily Nurse PractitionerAPRN001712NV

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
4P01021867OTHERMNRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1649586058
Entity Type Code : Individual
Provider Name (Legal Business Name) : JUDY ANNE HELGERSON NP
Provider Business Mailing Address
First Line : 3758 LAS VEGAS BLVD S
Second Line :
City : LAS VEGAS
State : NV
Zip : 89109-4132
Country : US
Telephone Number : 702-645-0332
Fax Number :
Provider Business Practice Location Address
First Line : 3758 LAS VEGAS BLVD S
Second Line :
City : LAS VEGAS
State : NV
Zip : 89109-4132
Country : US
Telephone Number : 702-645-0332
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/23/2010
Last Update Date : 09/23/2020

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Directions to “ JUDY ANNE HELGERSON NP” Practice Location

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