Healthcare Provider Details

I. General information

NPI: 1215477112
Provider Name (Legal Business Name): PATRICIA ANN HELFERSTAY PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: PATRICIA ANN SCHULT PA-C

II. Dates (important events)

Enumeration Date: 02/27/2017
Last Update Date: 10/09/2024
Certification Date: 10/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2003 MEDICAL PKWY STE 100
ANNAPOLIS MD
21401-3076
US

IV. Provider business mailing address

654 BAY GREEN DR
ARNOLD MD
21012-2011
US

V. Phone/Fax

Practice location:
  • Phone: 443-481-3493
  • Fax:
Mailing address:
  • Phone: 301-717-2619
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberC0006398
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: