=====================================================
General NPI Number Information
=====================================================
NPI Number | 1811869142
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | CHRISTINA R HELDERMAN FNP-C
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/17/2025
-----------------------------------------------------
Last Update Date | 09/17/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1332 W ARCH HAVEN AVE
-----------------------------------------------------
City | BLOOMINGTON
-----------------------------------------------------
State | IN
-----------------------------------------------------
Zip | 47403-2079
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 812-333-7447
-----------------------------------------------------
Fax | 812-333-7442
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 10759 E EVANS RD
-----------------------------------------------------
City | WHEATLAND
-----------------------------------------------------
State | IN
-----------------------------------------------------
Zip | 47597-8119
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 812-698-8465
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207Q00000X
-----------------------------------------------------
Taxonomy Name | Family Medicine Physician
-----------------------------------------------------
License Number | 71017103A.
-----------------------------------------------------
License Number State | IN
-----------------------------------------------------