Provider Demographics
NPI:1164853099
Name:FANCHER, HELEN KATHERINE (CRNP)
Entity Type:Individual
Prefix:
First Name:HELEN
Middle Name:KATHERINE
Last Name:FANCHER
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:HELEN
Other - Middle Name:
Other - Last Name:BLAIR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:203 VAUGHAN MEMORIAL DR
Mailing Address - Street 2:
Mailing Address - City:SELMA
Mailing Address - State:AL
Mailing Address - Zip Code:36701-6950
Mailing Address - Country:US
Mailing Address - Phone:334-375-8007
Mailing Address - Fax:
Practice Address - Street 1:203 VAUGHAN MEMORIAL DR
Practice Address - Street 2:
Practice Address - City:SELMA
Practice Address - State:AL
Practice Address - Zip Code:36701-6950
Practice Address - Country:US
Practice Address - Phone:334-375-8007
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-12-03
Last Update Date:2018-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-116341363LF0000X
AL1116341363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily