Provider Demographics
NPI:1619730637
Name:URSERY, HELEN J (RN BSN)
Entity Type:Individual
Prefix:
First Name:HELEN
Middle Name:J
Last Name:URSERY
Suffix:
Gender:F
Credentials:RN BSN
Other - Prefix:
Other - First Name:HELEN
Other - Middle Name:J
Other - Last Name:JOHNSON URSERY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN BSN
Mailing Address - Street 1:3930 HOWARD HUGHES PKWY
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89169-0943
Mailing Address - Country:US
Mailing Address - Phone:702-562-2192
Mailing Address - Fax:
Practice Address - Street 1:3930 HOWARD HUGHES PKWY
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89169-0943
Practice Address - Country:US
Practice Address - Phone:702-560-2192
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-01
Last Update Date:2024-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV855-850163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health