MEDICARE: ANGELA R ALLEN-HELMS MSN CPNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0200X	Pediatric Nurse Practitioner	300099	NC
2	363L00000X	Nurse Practitioner	300099	NC

General Provider Information

NPI Number	:	1407099369
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANGELA R ALLEN-HELMS MSN CPNP

Provider Business Mailing Address
First Line	:	31 E MEDICAL CT STE 2
Second Line	:
City	:	MARION
State	:	NC
Zip	:	28752-4969
Country	:	US
Telephone Number	:	828-559-0365
Fax Number	:	828-559-0370

Provider Business Practice Location Address
First Line	:	31 E MEDICAL CT STE 2
Second Line	:
City	:	MARION
State	:	NC
Zip	:	28752-4969
Country	:	US
Telephone Number	:	828-559-0365
Fax Number	:	828-559-0370

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/08/2009
Last Update Date	:	05/04/2023

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