Provider Demographics
NPI:1174222426
Name:HELTON, SARINA (FNP)
Entity type:Individual
Prefix:
First Name:SARINA
Middle Name:
Last Name:HELTON
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:12324 E 86TH ST N STE 509
Mailing Address - Street 2:
Mailing Address - City:OWASSO
Mailing Address - State:OK
Mailing Address - Zip Code:74055-2543
Mailing Address - Country:US
Mailing Address - Phone:406-260-5603
Mailing Address - Fax:779-204-2406
Practice Address - Street 1:12324 E 86TH ST N STE 509
Practice Address - Street 2:
Practice Address - City:OWASSO
Practice Address - State:OK
Practice Address - Zip Code:74055-2543
Practice Address - Country:US
Practice Address - Phone:918-400-9208
Practice Address - Fax:779-204-2406
Is Sole Proprietor?:No
Enumeration Date:2023-02-27
Last Update Date:2024-10-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IAA177138363LF0000X
NE115245363LF0000X
NM77273363LF0000X
COC-APN.0101533-C-NP363LF0000X
NY920777363LF0000X
OHAPRN.CNP.0037229363LF0000X
FLTPAN2040363LF0000X
CA95030770363LF0000X
MT213848363LF0000X
AZ291192363LF0000X
DELG-0012651363LF0000X
GAGAA-NP002212363LF0000X
KS53-82903-082363LF0000X
ID54303363LF0000X
OK214597363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily