Provider Demographics
NPI:1962635078
Name:HELLMAN, LAUREE (PMHCNS-BC)
Entity Type:Individual
Prefix:
First Name:LAUREE
Middle Name:
Last Name:HELLMAN
Suffix:
Gender:F
Credentials:PMHCNS-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3619 JERICHO RD
Mailing Address - Street 2:
Mailing Address - City:BISMARCK
Mailing Address - State:ND
Mailing Address - Zip Code:58503-0753
Mailing Address - Country:US
Mailing Address - Phone:701-426-9198
Mailing Address - Fax:
Practice Address - Street 1:1701 BURNT BOAT DR FL 2
Practice Address - Street 2:
Practice Address - City:BISMARCK
Practice Address - State:ND
Practice Address - Zip Code:58503-0812
Practice Address - Country:US
Practice Address - Phone:701-323-0924
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-08-24
Last Update Date:2009-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NDR26760163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PENDINGOtherBCBS OF ND
PENDINGOtherBCBS OF ND
NDPENDINGMedicare PIN