Healthcare Provider Details

I. General information

NPI: 1508668369
Provider Name (Legal Business Name): ALEXA RAE HELSEL RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ALEXA RAE HOOVER RN

II. Dates (important events)

Enumeration Date: 03/25/2025
Last Update Date: 07/14/2025
Certification Date: 07/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1086 FRANKLIN ST
JOHNSTOWN PA
15905-4305
US

IV. Provider business mailing address

203 CRESTVIEW DR
SALIX PA
15952-9112
US

V. Phone/Fax

Practice location:
  • Phone: 814-244-8220
  • Fax:
Mailing address:
  • Phone: 814-244-8220
  • Fax: 814-244-8220

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP033329
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN682837
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: