Provider Demographics
NPI:1255316881
Name:TEPPER, HELEN M (ARNP)
Entity Type:Individual
Prefix:
First Name:HELEN
Middle Name:M
Last Name:TEPPER
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:210 N ALEXANDER STREET
Mailing Address - Street 2:B
Mailing Address - City:PLANT CITY
Mailing Address - State:FL
Mailing Address - Zip Code:33563-5357
Mailing Address - Country:US
Mailing Address - Phone:813-719-3525
Mailing Address - Fax:
Practice Address - Street 1:210 N ALEXANDER STREET
Practice Address - Street 2:B
Practice Address - City:PLANT CITY
Practice Address - State:FL
Practice Address - Zip Code:33563-5357
Practice Address - Country:US
Practice Address - Phone:813-719-3525
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-06
Last Update Date:2011-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP1719542363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLK4095Medicare PIN