Provider Demographics
NPI:1518087121
Name:HENRY, HELENE YOLANDA (APRN-BC)
Entity Type:Individual
Prefix:MRS
First Name:HELENE
Middle Name:YOLANDA
Last Name:HENRY
Suffix:
Gender:F
Credentials:APRN-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24459 SUSSEX HWY
Mailing Address - Street 2:
Mailing Address - City:SEAFORD
Mailing Address - State:DE
Mailing Address - Zip Code:19973-4433
Mailing Address - Country:US
Mailing Address - Phone:302-629-3099
Mailing Address - Fax:302-629-3099
Practice Address - Street 1:24459 SUSSEX HWY
Practice Address - Street 2:
Practice Address - City:SEAFORD
Practice Address - State:DE
Practice Address - Zip Code:19973-4433
Practice Address - Country:US
Practice Address - Phone:302-629-3099
Practice Address - Fax:302-629-3099
Is Sole Proprietor?:No
Enumeration Date:2007-03-29
Last Update Date:2016-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR145837363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDR145837OtherREGISTERED NURSE LICENSE
DE1518087121Medicaid