Individual
CONNIE SUE HELMUTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1400 BRUSH ROW RD, WILBERFORCE, OH 45384-5800
(937) 376-6077
Mailing address
2675 TENNESSEE DR, XENIA, OH 45385-4735
(937) 532-4127
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
COA.17411-NP
OH
Other
Enumeration date
08/07/2015
Last updated
01/10/2019
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