Healthcare Provider Details

I. General information

NPI: 1306067905
Provider Name (Legal Business Name): DAMEION RAY HELFRICK CRNP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/01/2007
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

214 PEACH ORCHARD RD
MC CONNELLSBURG PA
17233-8559
US

IV. Provider business mailing address

214 PEACH ORCHARD RD
MC CONNELLSBURG PA
17233-8559
US

V. Phone/Fax

Practice location:
  • Phone: 717-485-3155
  • Fax:
Mailing address:
  • Phone: 717-485-3155
  • Fax: 717-485-6105

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberSP009306
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberSP009306
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: