Provider Demographics
NPI:1629696604
Name:FAUST, HELGA (CRNP, FNP - C)
Entity Type:Individual
Prefix:
First Name:HELGA
Middle Name:
Last Name:FAUST
Suffix:
Gender:F
Credentials:CRNP, FNP - C
Other - Prefix:
Other - First Name:KATE
Other - Middle Name:
Other - Last Name:FAUST
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:CRNP, NP - C
Mailing Address - Street 1:100 N ACADEMY AVE
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17822-4903
Mailing Address - Country:US
Mailing Address - Phone:570-271-6144
Mailing Address - Fax:570-271-6578
Practice Address - Street 1:385 STATE ST
Practice Address - Street 2:
Practice Address - City:SUNBURY
Practice Address - State:PA
Practice Address - Zip Code:17801-2531
Practice Address - Country:US
Practice Address - Phone:570-286-6773
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-07
Last Update Date:2020-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP022111363LP2300X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
PASP022111OtherCRNP