Provider Demographics
NPI:1710793310
Name:HELLINGER, SIMONA PAIGE (RN, CNM)
Entity type:Individual
Prefix:
First Name:SIMONA
Middle Name:PAIGE
Last Name:HELLINGER
Suffix:
Gender:
Credentials:RN, CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1211 SANTA LUISA DR
Mailing Address - Street 2:
Mailing Address - City:SOLANA BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92075-1615
Mailing Address - Country:US
Mailing Address - Phone:858-999-4592
Mailing Address - Fax:
Practice Address - Street 1:1211 SANTA LUISA DR
Practice Address - Street 2:
Practice Address - City:SOLANA BEACH
Practice Address - State:CA
Practice Address - Zip Code:92075-1615
Practice Address - Country:US
Practice Address - Phone:858-999-4592
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-09
Last Update Date:2025-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN274426163WG0000X
GA003356367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice