Provider Demographics
NPI:1144576778
Name:JAMES, HELEN BOSEDE (LPN)
Entity Type:Individual
Prefix:MISS
First Name:HELEN
Middle Name:BOSEDE
Last Name:JAMES
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 BEACH 19TH ST
Mailing Address - Street 2:APT. 18A
Mailing Address - City:FAR ROCKAWAY
Mailing Address - State:NY
Mailing Address - Zip Code:11691-3742
Mailing Address - Country:US
Mailing Address - Phone:917-627-1320
Mailing Address - Fax:
Practice Address - Street 1:120 BEACH 19TH ST
Practice Address - Street 2:APT. 18A
Practice Address - City:FAR ROCKAWAY
Practice Address - State:NY
Practice Address - Zip Code:11691-3742
Practice Address - Country:US
Practice Address - Phone:917-627-1320
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-01
Last Update Date:2012-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY308053-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse