Provider Demographics
NPI:1376747543
Name:BYRD, HELEN ELAIN (LVN)
Entity Type:Individual
Prefix:MRS
First Name:HELEN
Middle Name:ELAIN
Last Name:BYRD
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2709 PORTLAND AVE
Mailing Address - Street 2:
Mailing Address - City:CLOVIS
Mailing Address - State:CA
Mailing Address - Zip Code:93619-8453
Mailing Address - Country:US
Mailing Address - Phone:559-298-7703
Mailing Address - Fax:
Practice Address - Street 1:2709 PORTLAND AVE
Practice Address - Street 2:
Practice Address - City:CLOVIS
Practice Address - State:CA
Practice Address - Zip Code:93619-8453
Practice Address - Country:US
Practice Address - Phone:559-298-7703
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA173988164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse