Healthcare Provider Details

I. General information

NPI: 1366046070
Provider Name (Legal Business Name): HELENA NORWOOD PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: HELENA PETT

II. Dates (important events)

Enumeration Date: 11/23/2020
Last Update Date: 10/03/2025
Certification Date: 10/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1540 LAKE LANSING RD STE 202
LANSING MI
48912-3757
US

IV. Provider business mailing address

1425 BOYMAN DR
HOLT MI
48842-9685
US

V. Phone/Fax

Practice location:
  • Phone: 517-913-3820
  • Fax:
Mailing address:
  • Phone: 989-220-1687
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number5601010720
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: