=====================================================
General NPI Number Information
=====================================================
NPI Number | 1114304656
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | ASHLEY HELFER RN
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/05/2015
-----------------------------------------------------
Last Update Date | 03/08/2019
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 5498 LINCOLN RD
-----------------------------------------------------
City | ONTARIO
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 14519-9100
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 585-506-7688
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 5498 LINCOLN RD
-----------------------------------------------------
City | ONTARIO
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 14519-9100
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 585-506-7688
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 164W00000X
-----------------------------------------------------
Taxonomy Name | Licensed Practical Nurse
-----------------------------------------------------
License Number | 292107
-----------------------------------------------------
License Number State | NY
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 163W00000X
-----------------------------------------------------
Taxonomy Name | Registered Nurse
-----------------------------------------------------
License Number | 738505
-----------------------------------------------------
License Number State | NY
-----------------------------------------------------