Provider Demographics
NPI:1437637394
Name:HELM, NICHOLE BREANN (CPNP)
Entity Type:Individual
Prefix:
First Name:NICHOLE
Middle Name:BREANN
Last Name:HELM
Suffix:
Gender:F
Credentials:CPNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5980 UNIVERSITY AVE
Mailing Address - Street 2:
Mailing Address - City:HALIFAX
Mailing Address - State:NOVA SCOTIA
Mailing Address - Zip Code:B3K 6R8
Mailing Address - Country:CA
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5980 UNIVERSITY AVE
Practice Address - Street 2:
Practice Address - City:HALIFAX
Practice Address - State:NOVA SCOTIA
Practice Address - Zip Code:B3K 6R8
Practice Address - Country:CA
Practice Address - Phone:902-470-7755
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-02
Last Update Date:2018-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95001171363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics