Provider Demographics
NPI:1144792532
Name:HELMS, VERONICA (RN)
Entity Type:Individual
Prefix:
First Name:VERONICA
Middle Name:
Last Name:HELMS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3460 LINCOLN AVE
Mailing Address - Street 2:
Mailing Address - City:SHADYSIDE
Mailing Address - State:OH
Mailing Address - Zip Code:43947-1356
Mailing Address - Country:US
Mailing Address - Phone:330-606-3302
Mailing Address - Fax:
Practice Address - Street 1:3460 LINCOLN AVE
Practice Address - Street 2:
Practice Address - City:SHADYSIDE
Practice Address - State:OH
Practice Address - Zip Code:43947-1356
Practice Address - Country:US
Practice Address - Phone:330-606-3302
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-12-22
Last Update Date:2018-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV99004163W00000X
OHRN.355138163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse