Healthcare Provider Details

I. General information

NPI: 1033636758
Provider Name (Legal Business Name): VICTORIA LEE HELSPER CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/23/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 CAHABA PARK CIR STE 100
BIRMINGHAM AL
35242-8136
US

IV. Provider business mailing address

500 CAHABA PARK CIR STE 100
BIRMINGHAM AL
35242-8136
US

V. Phone/Fax

Practice location:
  • Phone: 205-848-2273
  • Fax: 205-848-2275
Mailing address:
  • Phone: 205-848-2273
  • Fax: 205-848-2275

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number1-140098
License Number StateAL
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number1-140098
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: