Provider Demographics
NPI:1336285477
Name:SOMERVELL, HELINA (CRNP, FAANP)
Entity Type:Individual
Prefix:DR
First Name:HELINA
Middle Name:
Last Name:SOMERVELL
Suffix:
Gender:F
Credentials:CRNP, FAANP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 CENTER DR RM 4-5940
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20892-0004
Mailing Address - Country:US
Mailing Address - Phone:240-858-3477
Mailing Address - Fax:301-402-1788
Practice Address - Street 1:10 CENTER DR RM 4-5940
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20892-0004
Practice Address - Country:US
Practice Address - Phone:240-858-3477
Practice Address - Fax:301-402-1788
Is Sole Proprietor?:No
Enumeration Date:2007-01-29
Last Update Date:2021-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR117393363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily