Provider Demographics
NPI:1841713922
Name:HELLMICH, TODD WILLIAM (APRN-BC, MSN)
Entity type:Individual
Prefix:
First Name:TODD
Middle Name:WILLIAM
Last Name:HELLMICH
Suffix:
Gender:M
Credentials:APRN-BC, MSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 2379
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:KY
Mailing Address - Zip Code:41105-2379
Mailing Address - Country:US
Mailing Address - Phone:606-408-4000
Mailing Address - Fax:
Practice Address - Street 1:1200 CENTRAL AVE STE 4
Practice Address - Street 2:
Practice Address - City:ASHLAND
Practice Address - State:KY
Practice Address - Zip Code:41101-7575
Practice Address - Country:US
Practice Address - Phone:606-324-1483
Practice Address - Fax:606-329-2612
Is Sole Proprietor?:No
Enumeration Date:2017-07-20
Last Update Date:2020-09-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA95006832363LA2200X, 363LG0600X
KY3012612363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health