Healthcare Provider Details

I. General information

NPI: 1487194957
Provider Name (Legal Business Name): MICHAEL HELFMAN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/03/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1700 UNIVERSITY AVE W FL 1
SAINT PAUL MN
55104-3727
US

IV. Provider business mailing address

4854 NARROW WAY NE
SAINT MICHAEL MN
55376-6501
US

V. Phone/Fax

Practice location:
  • Phone: 651-232-2022
  • Fax: 651-232-2031
Mailing address:
  • Phone: 763-229-1193
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberCNP 5009
License Number StateMN
# 2
Primary TaxonomyY
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License NumberCNP 5009
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: