Provider Demographics
NPI:1164463238
Name:NORRIS, HELEN MARIE (NP-C)
Entity Type:Individual
Prefix:MRS
First Name:HELEN
Middle Name:MARIE
Last Name:NORRIS
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:710 N NILES AVE
Mailing Address - Street 2:
Mailing Address - City:SOUTH BEND
Mailing Address - State:IN
Mailing Address - Zip Code:46617-1924
Mailing Address - Country:US
Mailing Address - Phone:574-647-1610
Mailing Address - Fax:
Practice Address - Street 1:4630 VISTULA RD
Practice Address - Street 2:
Practice Address - City:MISHAWAKA
Practice Address - State:IN
Practice Address - Zip Code:46544-4000
Practice Address - Country:US
Practice Address - Phone:574-318-4291
Practice Address - Fax:574-318-4759
Is Sole Proprietor?:No
Enumeration Date:2006-06-09
Last Update Date:2023-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN71001913A363LF0000X, 363LA2200X, 363LX0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0106XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerOccupational Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
INP01435394OtherRR MEDICARE
IN201222070Medicaid
IN000000872516OtherBCBS NORTH CENTRAL CARDIOVASCULAR
IN000000872516OtherBCBS NORTH CENTRAL CARDIOVASCULAR
IN000000872516OtherBCBS NORTH CENTRAL CARDIOVASCULAR