Provider Demographics
NPI:1619953593
Name:FLEISCHMAN, HELEN LOUISE (MSN, FNP-C)
Entity Type:Individual
Prefix:MS
First Name:HELEN
Middle Name:LOUISE
Last Name:FLEISCHMAN
Suffix:
Gender:F
Credentials:MSN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3040 N SWAN RD
Mailing Address - Street 2:STE B
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85712-1206
Mailing Address - Country:US
Mailing Address - Phone:520-327-3454
Mailing Address - Fax:520-327-3431
Practice Address - Street 1:3040 N SWAN RD
Practice Address - Street 2:STE B
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85712-1206
Practice Address - Country:US
Practice Address - Phone:520-327-3454
Practice Address - Fax:520-327-3431
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-21
Last Update Date:2021-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSRN091177363L00000X
AZAP1097363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ953910002Medicaid
AZ2Z1622OtherHEALTHNET
AZ100197Medicare ID - Type UnspecifiedNORIDIAN
AZP12512Medicare UPIN
AZ953910002Medicaid