Provider Demographics
NPI:1336109586
Name:DALE, HELEN ELIZABETH (APRN-CNM)
Entity Type:Individual
Prefix:
First Name:HELEN
Middle Name:ELIZABETH
Last Name:DALE
Suffix:
Gender:F
Credentials:APRN-CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:700 ACKERMAN RD STE 2120
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43202-1559
Mailing Address - Country:US
Mailing Address - Phone:614-293-3069
Mailing Address - Fax:614-685-0256
Practice Address - Street 1:160 W WILSON BRIDGE RD STE 2101
Practice Address - Street 2:
Practice Address - City:WORTHINGTON
Practice Address - State:OH
Practice Address - Zip Code:43085-2688
Practice Address - Country:US
Practice Address - Phone:614-293-3069
Practice Address - Fax:614-685-0256
Is Sole Proprietor?:No
Enumeration Date:2006-03-23
Last Update Date:2024-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNM.11873367A00000X
OH11873-NM163W00000X
OHCOA.08447-NP363LF0000X
OHCOA.11873-NM367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHQ61166Medicare UPIN
OHDANP20022Medicare PIN
OHIN9359191Medicare PIN