MEDICARE: HEL BER MOO

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	163W00000X	Registered Nurse	RN61193125	WA

General Provider Information

NPI Number	:	1679243299
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HEL BER MOO

Provider Business Mailing Address
First Line	:	30 HUNTER LN
Second Line	:
City	:	CAMP HILL
State	:	PA
Zip	:	17011-2499
Country	:	US
Telephone Number	:	717-761-2633
Fax Number	:

Provider Business Practice Location Address
First Line	:	35013 SNOQUALMIE PKWY
Second Line	:
City	:	SNOQUALMIE
State	:	WA
Zip	:	98065-5149
Country	:	US
Telephone Number	:	717-761-2633
Fax Number	:

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

Provider Enumeration Date	:	09/15/2021
Last Update Date	:	09/15/2021

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Directions to “ HEL BER MOO ” Practice Location

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