Healthcare Provider Details

I. General information

NPI: 1659743391
Provider Name (Legal Business Name): CHRISTINE HELMBRECHT FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/21/2015
Last Update Date: 08/25/2020
Certification Date: 08/25/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

225 CLARKSON RD
BALLWIN MO
63011-2278
US

IV. Provider business mailing address

232 S. WOODS MILL RD.
CHESTERFIELD MO
63017
US

V. Phone/Fax

Practice location:
  • Phone: 636-685-7715
  • Fax: 314-590-5944
Mailing address:
  • Phone: 314-434-1500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number2015009961
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: