Provider Demographics
NPI:1326185372
Name:MEELHEIM, HELEN DIANE (FNP)
Entity Type:Individual
Prefix:
First Name:HELEN
Middle Name:DIANE
Last Name:MEELHEIM
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1620 LIVE OAK ST
Mailing Address - Street 2:
Mailing Address - City:BEAUFORT
Mailing Address - State:NC
Mailing Address - Zip Code:28516-1581
Mailing Address - Country:US
Mailing Address - Phone:252-728-5737
Mailing Address - Fax:252-728-5739
Practice Address - Street 1:1620 LIVE OAK ST
Practice Address - Street 2:
Practice Address - City:BEAUFORT
Practice Address - State:NC
Practice Address - Zip Code:28516-1581
Practice Address - Country:US
Practice Address - Phone:252-728-5737
Practice Address - Fax:252-728-5739
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-31
Last Update Date:2013-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC116607363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC700699Medicaid