Provider Demographics
NPI:1306321526
Name:HELMAR, ROXANNE FAITH (RN)
Entity type:Individual
Prefix:MS
First Name:ROXANNE
Middle Name:FAITH
Last Name:HELMAR
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1207B FORT HUNTER RD
Mailing Address - Street 2:
Mailing Address - City:SCHENECTADY
Mailing Address - State:NY
Mailing Address - Zip Code:12303-4525
Mailing Address - Country:US
Mailing Address - Phone:518-203-8233
Mailing Address - Fax:
Practice Address - Street 1:1445 THE PLZ
Practice Address - Street 2:
Practice Address - City:SCHENECTADY
Practice Address - State:NY
Practice Address - Zip Code:12308-2639
Practice Address - Country:US
Practice Address - Phone:518-370-8212
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-10-03
Last Update Date:2018-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY732755163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool