Provider Demographics
NPI:1922596329
Name:HELFERT, AUDRA LEE (RN,)
Entity Type:Individual
Prefix:MRS
First Name:AUDRA
Middle Name:LEE
Last Name:HELFERT
Suffix:
Gender:F
Credentials:RN,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7488 TAYLORVILLE RD
Mailing Address - Street 2:
Mailing Address - City:TENNYSON
Mailing Address - State:IN
Mailing Address - Zip Code:47637-9223
Mailing Address - Country:US
Mailing Address - Phone:812-774-8088
Mailing Address - Fax:
Practice Address - Street 1:200 N MAIN ST
Practice Address - Street 2:
Practice Address - City:EVANSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47711-5451
Practice Address - Country:US
Practice Address - Phone:812-491-4296
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-01
Last Update Date:2018-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN28142225A163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management