Provider Demographics
NPI:1053689695
Name:HELMREICH, ELIZABETH MAY (ANP-BC)
Entity Type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:MAY
Last Name:HELMREICH
Suffix:
Gender:F
Credentials:ANP-BC
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Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1201 STONE ST
Mailing Address - Street 2:SUITE 5
Mailing Address - City:PORT HURON
Mailing Address - State:MI
Mailing Address - Zip Code:48060-3563
Mailing Address - Country:US
Mailing Address - Phone:810-966-9556
Mailing Address - Fax:810-966-4898
Practice Address - Street 1:1201 STONE ST
Practice Address - Street 2:SUITE 5
Practice Address - City:PORT HURON
Practice Address - State:MI
Practice Address - Zip Code:48060-3563
Practice Address - Country:US
Practice Address - Phone:810-966-9556
Practice Address - Fax:810-966-4898
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-11
Last Update Date:2011-12-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4704253705363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health