Basic Information
| Provider Information | |||||||||
| NPI: | 1083342604 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | HELWIG | ||||||||
| FirstName: | CASSANDRA | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | |||||||||
| NameSuffix: | |||||||||
| Credential: | CRNP | ||||||||
| OtherOrganizationName: | |||||||||
| OtherOrganizationType: | |||||||||
| OtherLastName: | WYRICK | ||||||||
| OtherFirstName: | CASSANDRA | ||||||||
| OtherMiddleName: | |||||||||
| OtherNamePrefix: | MS. | ||||||||
| OtherNameSuffix: | |||||||||
| OtherCredential: | RN | ||||||||
| OtherLastNameType: | 1 | ||||||||
| Mailing Information | |||||||||
| Address1: | 16312 MOUNT AIRY RD | ||||||||
| Address2: | |||||||||
| City: | SHREWSBURY | ||||||||
| State: | PA | ||||||||
| PostalCode: | 173611623 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7172273800 | ||||||||
| FaxNumber: | 7172273802 | ||||||||
| Practice Location | |||||||||
| Address1: | 16312 MOUNT AIRY RD | ||||||||
| Address2: | |||||||||
| City: | SHREWSBURY | ||||||||
| State: | PA | ||||||||
| PostalCode: | 173611623 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7172273800 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/11/2022 | ||||||||
| LastUpdateDate: | 09/26/2022 | ||||||||
| NPIDeactivationReasonCode: | |||||||||
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| NPIReactivationDate: | |||||||||
| ProviderGenderCode: | F | ||||||||
| AuthorizedOfficialLastName: | |||||||||
| AuthorizedOfficialFirstName: | |||||||||
| AuthorizedOfficialMiddleName: | |||||||||
| AuthorizedOfficialTitleorPosition: | |||||||||
| AuthorizedOfficialTelephone: | |||||||||
| IsSoleProprietor: | Y | ||||||||
| IsOrganizationSubpart: | |||||||||
| ParentOrganizationLBN: | |||||||||
| AuthorizedOfficialNamePrefix: | |||||||||
| AuthorizedOfficialNameSuffix: | |||||||||
| AuthorizedOfficialCredential: | |||||||||
| NPICertificationDate: | 09/26/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163WE0003X | RN559339 | PA | N | Nursing Service Providers | Registered Nurse | Emergency | 363LF0000X | SP026179 | PA | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
ID Information
| ID | Type | State | Issuer | Description | F08220283 | 01 | PA | AANPCB | OTHER |