Provider Demographics
NPI:1710082490
Name:LITWILER, HELEN M (NP)
Entity Type:Individual
Prefix:
First Name:HELEN
Middle Name:M
Last Name:LITWILER
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1400 EMELINE AVE
Mailing Address - Street 2:
Mailing Address - City:SANTA CRUZ
Mailing Address - State:CA
Mailing Address - Zip Code:95060-1976
Mailing Address - Country:US
Mailing Address - Phone:831-454-4170
Mailing Address - Fax:831-454-4663
Practice Address - Street 1:1400 EMELINE AVE
Practice Address - Street 2:
Practice Address - City:SANTA CRUZ
Practice Address - State:CA
Practice Address - Zip Code:95060-1976
Practice Address - Country:US
Practice Address - Phone:831-454-4170
Practice Address - Fax:831-454-4663
Is Sole Proprietor?:No
Enumeration Date:2006-09-14
Last Update Date:2009-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFT 27928106H00000X
CA309342163W00000X
CA550363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ92073ZOtherMEDICARE GROUP ID#
CAMFT 27928OtherOTHER LICENSE
CAZZZ92069ZOtherMEDICARE GROUP ID#
CA1659315430OtherENTITY NPI#
CANP 550OtherNURSE PRACTITIONER #
CARN 309342OtherREGISTERED NURSE #
CAZZZ91892ZOtherMEDICARE GROUP ID#
CAZZZ91891ZOtherMEDICARE GROUP ID#