Provider Demographics
NPI:1407254865
Name:PARKER-SMITH, HELEN (RN)
Entity Type:Individual
Prefix:
First Name:HELEN
Middle Name:
Last Name:PARKER-SMITH
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 1:16165 W 12 MILE RD
Mailing Address - Street 2:
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48076-2912
Mailing Address - Country:US
Mailing Address - Phone:248-352-2200
Mailing Address - Fax:248-352-5366
Practice Address - Street 1:16165 W 12 MILE RD
Practice Address - Street 2:
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48076-2912
Practice Address - Country:US
Practice Address - Phone:248-352-2200
Practice Address - Fax:248-352-5366
Is Sole Proprietor?:Yes
Enumeration Date:2014-12-16
Last Update Date:2014-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704202809163W00000X, 163WH0200X, 163WM0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health
No163W00000XNursing Service ProvidersRegistered Nurse
No163WM0102XNursing Service ProvidersRegistered NurseMaternal Newborn