Provider Demographics
NPI:1619502812
Name:HELEM, TANSHANICKA SHELLAMICE (DNP, FNP-BC)
Entity type:Individual
Prefix:DR
First Name:TANSHANICKA
Middle Name:SHELLAMICE
Last Name:HELEM
Suffix:
Gender:F
Credentials:DNP, FNP-BC
Other - Prefix:MRS
Other - First Name:TANSHANICKA
Other - Middle Name:SHELLAMICE
Other - Last Name:COLEMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:3261 OLD WASHINGTON RD STE J-2020
Mailing Address - Street 2:
Mailing Address - City:WALDORF
Mailing Address - State:MD
Mailing Address - Zip Code:20602-3223
Mailing Address - Country:US
Mailing Address - Phone:301-200-5790
Mailing Address - Fax:
Practice Address - Street 1:3261 OLD WASHINGTON RD
Practice Address - Street 2:
Practice Address - City:WALDORF
Practice Address - State:MD
Practice Address - Zip Code:20602-3223
Practice Address - Country:US
Practice Address - Phone:301-200-5790
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-08
Last Update Date:2025-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCNP67553363LF0000X
MDR143602363LF0000X
TX1136376363LF0000X
NC5017872363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDNONEMedicaid