Provider Demographics
NPI:1689014664
Name:MAYFIELD, HELEN RICHARDS (RN)
Entity Type:Individual
Prefix:
First Name:HELEN
Middle Name:RICHARDS
Last Name:MAYFIELD
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 1:1994 E 455TH RD
Mailing Address - Street 2:
Mailing Address - City:HALF WAY
Mailing Address - State:MO
Mailing Address - Zip Code:65663-9698
Mailing Address - Country:US
Mailing Address - Phone:417-777-3277
Mailing Address - Fax:
Practice Address - Street 1:USA MEDDAC BAVRARIA
Practice Address - Street 2:CMR 411 BLDG 700 ROSE BARRACKS
Practice Address - City:APO
Practice Address - State:AE
Practice Address - Zip Code:09112
Practice Address - Country:US
Practice Address - Phone:49966-283-4719
Practice Address - Fax:49966-283-4721
Is Sole Proprietor?:No
Enumeration Date:2013-07-05
Last Update Date:2013-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO1999141561163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
VADOOOtherUPIN