Provider Demographics
NPI:1659613495
Name:HELM, DEBORAH FISHER (FNP)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:FISHER
Last Name:HELM
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16202 COUNTRY DAY RD
Mailing Address - Street 2:
Mailing Address - City:POWAY
Mailing Address - State:CA
Mailing Address - Zip Code:92064-1454
Mailing Address - Country:US
Mailing Address - Phone:858-674-4106
Mailing Address - Fax:858-674-4109
Practice Address - Street 1:1313 PARK BLVD
Practice Address - Street 2:ROOM A-116
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92101-4712
Practice Address - Country:US
Practice Address - Phone:619-388-3450
Practice Address - Fax:619-388-3908
Is Sole Proprietor?:No
Enumeration Date:2013-03-19
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA438659363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAMH0513425OtherDEA NUMBER