Provider Demographics
NPI:1528182995
Name:HELDENBRAND, AMY ELIZABETH (RN, FNP-C)
Entity Type:Individual
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First Name:AMY
Middle Name:ELIZABETH
Last Name:HELDENBRAND
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Gender:F
Credentials:RN, FNP-C
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Mailing Address - Street 1:1600 E EVERGREEN ST
Mailing Address - Street 2:PO BOX 557
Mailing Address - City:CAMERON
Mailing Address - State:MO
Mailing Address - Zip Code:64429-2400
Mailing Address - Country:US
Mailing Address - Phone:816-632-2101
Mailing Address - Fax:816-649-3383
Practice Address - Street 1:502 S MAIN ST
Practice Address - Street 2:
Practice Address - City:GALLATIN
Practice Address - State:MO
Practice Address - Zip Code:64640-1435
Practice Address - Country:US
Practice Address - Phone:660-663-3751
Practice Address - Fax:660-663-3291
Is Sole Proprietor?:No
Enumeration Date:2007-03-19
Last Update Date:2010-12-02
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Provider Licenses
StateLicense IDTaxonomies
MO2000161847363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO420575607Medicaid
MOP00607930OtherMEDICARE RAILROAD
MOP00607930OtherMEDICARE RAILROAD
MO260057Medicare Oscar/Certification
MOQ77778Medicare UPIN