Provider Demographics
NPI:1235339201
Name:PERALA, HELEN MARY (LPN)
Entity Type:Individual
Prefix:
First Name:HELEN
Middle Name:MARY
Last Name:PERALA
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 1:1107 2ND ST
Mailing Address - Street 2:
Mailing Address - City:HANCOCK
Mailing Address - State:MI
Mailing Address - Zip Code:49930-1317
Mailing Address - Country:US
Mailing Address - Phone:906-482-0281
Mailing Address - Fax:906-337-5091
Practice Address - Street 1:1107 2ND ST
Practice Address - Street 2:
Practice Address - City:HANCOCK
Practice Address - State:MI
Practice Address - Zip Code:49930-1317
Practice Address - Country:US
Practice Address - Phone:906-482-0281
Practice Address - Fax:906-337-5091
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-18
Last Update Date:2007-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4703100169164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse