Provider Demographics
NPI:1215254180
Name:HELLMAN, HALLY J (CRNA)
Entity type:Individual
Prefix:
First Name:HALLY
Middle Name:J
Last Name:HELLMAN
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:HALLY
Other - Middle Name:J
Other - Last Name:SALVAIL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3421 CONCORD RD
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-9001
Mailing Address - Country:US
Mailing Address - Phone:717-812-7687
Mailing Address - Fax:
Practice Address - Street 1:1001 S GEORGE ST
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17403-3676
Practice Address - Country:US
Practice Address - Phone:717-812-7687
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-04-30
Last Update Date:2022-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN545063367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA2510675OtherHIGHMARK BLUE SHIELD-WMG
PA1024876970001Medicaid
PA1590542OtherGATEWAY-WMG
PA30076262OtherAMERIHEALTH MERCY-WMG
PA191590GVQMedicare PIN