Provider Demographics
NPI:1538339775
Name:STUTZMAN, HELEN DELORIS (CRNA, ARNP)
Entity type:Individual
Prefix:
First Name:HELEN
Middle Name:DELORIS
Last Name:STUTZMAN
Suffix:
Gender:F
Credentials:CRNA, ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1455 US HIGHWAY 169
Mailing Address - Street 2:
Mailing Address - City:MOUNT AYR
Mailing Address - State:IA
Mailing Address - Zip Code:50854-8872
Mailing Address - Country:US
Mailing Address - Phone:641-772-4554
Mailing Address - Fax:
Practice Address - Street 1:1455 US HIGHWAY 169
Practice Address - Street 2:
Practice Address - City:MOUNT AYR
Practice Address - State:IA
Practice Address - Zip Code:50854-8872
Practice Address - Country:US
Practice Address - Phone:641-772-4554
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-03-04
Last Update Date:2008-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAD-101302367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered