Provider Demographics
NPI:1073721908
Name:HEALY, ND, HELEN C (ND)
Entity Type:Individual
Prefix:MS
First Name:HELEN
Middle Name:C
Last Name:HEALY, ND
Suffix:
Gender:F
Credentials:ND
Other - Prefix:MS
Other - First Name:HELEN
Other - Middle Name:C
Other - Last Name:SOLEY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:ND
Mailing Address - Street 1:905 JEFFERSON AVE
Mailing Address - Street 2:SUITE 202
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55102-4741
Mailing Address - Country:US
Mailing Address - Phone:651-222-4111
Mailing Address - Fax:651-222-8758
Practice Address - Street 1:905 JEFFERSON AVE
Practice Address - Street 2:SUITE 202
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55102-4741
Practice Address - Country:US
Practice Address - Phone:651-222-4111
Practice Address - Fax:651-222-8758
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-21
Last Update Date:2011-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR564175F00000X
MN1007175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath