Provider Demographics
NPI:1437167624
Name:NUTTER, HELEN T (MD)
Entity type:Individual
Prefix:
First Name:HELEN
Middle Name:T
Last Name:NUTTER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3400 DATA DR
Mailing Address - Street 2:
Mailing Address - City:RANCHO CORDOVA
Mailing Address - State:CA
Mailing Address - Zip Code:95670-7956
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3000 Q ST
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95816-7058
Practice Address - Country:US
Practice Address - Phone:916-733-3333
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-03
Last Update Date:2012-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA63602207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA000810342849OtherPHCS
CA00A636020Medicaid
CA1650256OtherGREAT WEST
CAA63602OtherBLUE CROSS
CA2012318OtherUNITED HEALTHCARE
CA2044988OtherCIGNA
CA1834073OtherFIRST HEALTH
CA7507116OtherAETNA
CAMCMG171000OtherWESTERN HEALTH ADVANTAGE
CA90116374OtherPACIFICARE
CA248484OtherINTERPLAN
CA078740OtherHEALTH NET
CA078740OtherHEALTH NET
CA2012318OtherUNITED HEALTHCARE