Provider Demographics
NPI:1558994905
Name:HELGESON, DANA ASHLEY (PA-C)
Entity Type:Individual
Prefix:
First Name:DANA
Middle Name:ASHLEY
Last Name:HELGESON
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1384 N ALEXIS DR
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85234-0134
Mailing Address - Country:US
Mailing Address - Phone:602-769-1352
Mailing Address - Fax:
Practice Address - Street 1:1384 N ALEXIS DR
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85234-0134
Practice Address - Country:US
Practice Address - Phone:602-769-1352
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-13
Last Update Date:2021-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant