Provider Demographics
NPI:1235462029
Name:HELMER, CONNIE LYNN ANN (RN)
Entity Type:Individual
Prefix:MS
First Name:CONNIE
Middle Name:LYNN ANN
Last Name:HELMER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:152 MEETING HOUSE RD
Mailing Address - Street 2:
Mailing Address - City:WEST WINFIELD
Mailing Address - State:NY
Mailing Address - Zip Code:13491-2504
Mailing Address - Country:US
Mailing Address - Phone:315-360-1542
Mailing Address - Fax:
Practice Address - Street 1:152 MEETING HOUSE RD
Practice Address - Street 2:
Practice Address - City:WEST WINFIELD
Practice Address - State:NY
Practice Address - Zip Code:13491-2504
Practice Address - Country:US
Practice Address - Phone:315-360-1542
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-10
Last Update Date:2009-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY602554163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse