Provider Demographics
NPI:1083797849
Name:EWER, HELEN PATRICIA (CRNA)
Entity Type:Individual
Prefix:
First Name:HELEN
Middle Name:PATRICIA
Last Name:EWER
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:474 SOUTHWOOD CIR
Mailing Address - Street 2:
Mailing Address - City:CABOT
Mailing Address - State:AR
Mailing Address - Zip Code:72023-8917
Mailing Address - Country:US
Mailing Address - Phone:501-843-5858
Mailing Address - Fax:
Practice Address - Street 1:474 SOUTHWOOD CIR
Practice Address - Street 2:
Practice Address - City:CABOT
Practice Address - State:AR
Practice Address - Zip Code:72023-8917
Practice Address - Country:US
Practice Address - Phone:501-843-5858
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARC00315367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR59593Medicare ID - Type Unspecified