Provider Demographics
NPI:1588740682
Name:HELSER, DEBRA SUE (LPN)
Entity type:Individual
Prefix:MRS
First Name:DEBRA
Middle Name:SUE
Last Name:HELSER
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4385 WORKMAN RD
Mailing Address - Street 2:
Mailing Address - City:MOUNT PERRY
Mailing Address - State:OH
Mailing Address - Zip Code:43760-9615
Mailing Address - Country:US
Mailing Address - Phone:740-605-0723
Mailing Address - Fax:740-849-0262
Practice Address - Street 1:4385 WORKMAN RD
Practice Address - Street 2:
Practice Address - City:MOUNT PERRY
Practice Address - State:OH
Practice Address - Zip Code:43760-9615
Practice Address - Country:US
Practice Address - Phone:740-605-0723
Practice Address - Fax:740-849-0262
Is Sole Proprietor?:No
Enumeration Date:2006-10-31
Last Update Date:2008-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN.079711164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2458399Medicaid