Provider Demographics
NPI:1659462588
Name:GINGRAS, HELENE TERESE (CFNP)
Entity Type:Individual
Prefix:
First Name:HELENE
Middle Name:TERESE
Last Name:GINGRAS
Suffix:
Gender:F
Credentials:CFNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2208 EXECUTIVE DR
Mailing Address - Street 2:SUITE C
Mailing Address - City:HAMPTON
Mailing Address - State:VA
Mailing Address - Zip Code:23666-6603
Mailing Address - Country:US
Mailing Address - Phone:757-826-7516
Mailing Address - Fax:757-826-6232
Practice Address - Street 1:2112 HARTFORD RD
Practice Address - Street 2:
Practice Address - City:HAMPTON
Practice Address - State:VA
Practice Address - Zip Code:23666-2409
Practice Address - Country:US
Practice Address - Phone:757-826-7516
Practice Address - Fax:757-826-6232
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2019-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA000111273163WP0807X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0807XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Child & Adolescent
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA007782331Medicaid
VAO82781OtherSENTARA/OPTIMA
VA234796OtherANTHEM BCBS
VA234796OtherANTHEM HEALTHKEEPERS