Provider Demographics
NPI:1790589588
Name:HELMSTETTER, PENNY
Entity type:Individual
Prefix:
First Name:PENNY
Middle Name:
Last Name:HELMSTETTER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17113 GOLDEN BRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:WAPAKONETA
Mailing Address - State:OH
Mailing Address - Zip Code:45895-9143
Mailing Address - Country:US
Mailing Address - Phone:141-920-4681
Mailing Address - Fax:
Practice Address - Street 1:17113 GOLDEN BRIDGE RD
Practice Address - Street 2:
Practice Address - City:WAPAKONETA
Practice Address - State:OH
Practice Address - Zip Code:45895-9143
Practice Address - Country:US
Practice Address - Phone:419-204-6814
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-02
Last Update Date:2025-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant