Provider Demographics
NPI:1487321329
Name:HELM, ANDREA KATHLEEN (FNP)
Entity type:Individual
Prefix:
First Name:ANDREA
Middle Name:KATHLEEN
Last Name:HELM
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2342 NW PROFESSIONAL DR
Mailing Address - Street 2:
Mailing Address - City:CORVALLIS
Mailing Address - State:OR
Mailing Address - Zip Code:97330-3881
Mailing Address - Country:US
Mailing Address - Phone:541-757-7708
Mailing Address - Fax:541-738-7192
Practice Address - Street 1:2342 NW PROFESSIONAL DR
Practice Address - Street 2:
Practice Address - City:CORVALLIS
Practice Address - State:OR
Practice Address - Zip Code:97330-3881
Practice Address - Country:US
Practice Address - Phone:541-757-7708
Practice Address - Fax:541-738-7192
Is Sole Proprietor?:No
Enumeration Date:2021-08-27
Last Update Date:2021-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR202108799NP-PP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily