Provider Demographics
NPI:1790957330
Name:HELMS, TRACY DIANE (RN, MSN, C-FNP)
Entity Type:Individual
Prefix:
First Name:TRACY
Middle Name:DIANE
Last Name:HELMS
Suffix:
Gender:F
Credentials:RN, MSN, C-FNP
Other - Prefix:
Other - First Name:TRACY
Other - Middle Name:DIANE
Other - Last Name:ST GERMAIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN, MSN, C-FNP
Mailing Address - Street 1:4749 S PLEASANTVIEW RD UNIT 75
Mailing Address - Street 2:
Mailing Address - City:HARBOR SPRINGS
Mailing Address - State:MI
Mailing Address - Zip Code:49740-8304
Mailing Address - Country:US
Mailing Address - Phone:248-469-5704
Mailing Address - Fax:
Practice Address - Street 1:8430 M 119 UNIT 1
Practice Address - Street 2:
Practice Address - City:HARBOR SPRINGS
Practice Address - State:MI
Practice Address - Zip Code:49740-9439
Practice Address - Country:US
Practice Address - Phone:248-469-5704
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-03-24
Last Update Date:2021-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDRN2311425363LF0000X
MI4704286158363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily