Healthcare Provider Details

I. General information

NPI: 1144536327
Provider Name (Legal Business Name): MICHELLE K HELAL CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/25/2010
Last Update Date: 12/12/2025
Certification Date: 12/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

115 BALTIMORE ST STE 200
CUMBERLAND MD
21502-2301
US

IV. Provider business mailing address

115 BALTIMORE ST STE 200 PO BOX 1571
CUMBERLAND MD
21502-2301
US

V. Phone/Fax

Practice location:
  • Phone: 301-723-4965
  • Fax: 301-723-4983
Mailing address:
  • Phone: 301-723-4965
  • Fax: 301-723-4983

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberR186931
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number558133
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: