Provider Demographics
NPI:1558314401
Name:TOUTKOUSHIAN, HELEN M (CRNP)
Entity Type:Individual
Prefix:MRS
First Name:HELEN
Middle Name:M
Last Name:TOUTKOUSHIAN
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:MRS
Other - First Name:HELEN
Other - Middle Name:M
Other - Last Name:TOUTKOUSHIAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:CRNP
Mailing Address - Street 1:432 HOMESTEAD CIR
Mailing Address - Street 2:
Mailing Address - City:WARRINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:18976-3600
Mailing Address - Country:US
Mailing Address - Phone:215-491-4386
Mailing Address - Fax:
Practice Address - Street 1:777 FERRY RD
Practice Address - Street 2:
Practice Address - City:DOYLESTOWN
Practice Address - State:PA
Practice Address - Zip Code:18901-2102
Practice Address - Country:US
Practice Address - Phone:215-340-5100
Practice Address - Fax:215-340-5152
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAVP006271C363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAVP006271COtherCERTIFIED RN PRACTITIONER
PA077424Medicare ID - Type Unspecified
PAQ11203Medicare UPIN