Provider Demographics
NPI:1790563971
Name:WILKOWSKY, HELAINE LEAH (CRNP-OB/GYN, RN)
Entity Type:Individual
Prefix:
First Name:HELAINE
Middle Name:LEAH
Last Name:WILKOWSKY
Suffix:
Gender:F
Credentials:CRNP-OB/GYN, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:225 N CALVERT ST APT 1525
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21202-4962
Mailing Address - Country:US
Mailing Address - Phone:443-904-2706
Mailing Address - Fax:
Practice Address - Street 1:225 N CALVERT ST APT 1525
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21202-4962
Practice Address - Country:US
Practice Address - Phone:443-904-2706
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-19
Last Update Date:2023-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR229952363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health