Provider Demographics
NPI:1710999446
Name:HELMS, MELISSA HANLEY (CRNA)
Entity Type:Individual
Prefix:
First Name:MELISSA
Middle Name:HANLEY
Last Name:HELMS
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:MELIISA
Other - Middle Name:H
Other - Last Name:THAYER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:222 NAUTICAL WINDS
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27292-6468
Mailing Address - Country:US
Mailing Address - Phone:704-507-9234
Mailing Address - Fax:
Practice Address - Street 1:222 NAUTICAL WINDS
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:NC
Practice Address - Zip Code:27292-6468
Practice Address - Country:US
Practice Address - Phone:704-579-2345
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-12
Last Update Date:2024-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP 3334552367500000X
NC390367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLG3641OtherBCBS OF FLORIDA
FL307908200Medicaid