MEDICARE: FAYE HELLER APRN/CNS

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	74019	KS
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	209004413	IL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	160593	OTHER	KS	PTAN -ISSUED BT KS MEDICARE/BCBS

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1679549000
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FAYE HELLER APRN/CNS

Provider Business Mailing Address
First Line	:	5040 SW 28TH ST
Second Line	:	STE. C
City	:	TOPEKA
State	:	KS
Zip	:	66614-2302
Country	:	US
Telephone Number	:	785-273-4908
Fax Number	:	785-273-0465

Provider Business Practice Location Address
First Line	:	5040 SW 28TH ST
Second Line	:	STE. C
City	:	TOPEKA
State	:	KS
Zip	:	66614-2302
Country	:	US
Telephone Number	:	785-273-4908
Fax Number	:	785-273-0465

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

Provider Enumeration Date	:	02/25/2006
Last Update Date	:	12/17/2013

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Directions to “ FAYE HELLER APRN/CNS” Practice Location

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