Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0200X | Nurse Practitioner - Pediatrics | 1-140098 | AL |
NPI | 1033636758 |
---|---|
Provider Name | Victoria Lee Helsper |
First Address | Birmingham, AL 35242-8136 |
Second Address | Birmingham, AL 35242-8136 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/08/2017 |
Last Update Date | 19/09/2017 |