Provider Demographics
NPI:1922082676
Name:DESMARAIS, HELENE G (PA)
Entity Type:Individual
Prefix:MS
First Name:HELENE
Middle Name:G
Last Name:DESMARAIS
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
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Mailing Address - Street 1:11378 W RADCLIFFE DR
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80127-1077
Mailing Address - Country:US
Mailing Address - Phone:303-257-4224
Mailing Address - Fax:303-932-0480
Practice Address - Street 1:11378 W RADCLIFFE DR
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80127-1077
Practice Address - Country:US
Practice Address - Phone:303-257-4224
Practice Address - Fax:303-287-7357
Is Sole Proprietor?:No
Enumeration Date:2005-12-05
Last Update Date:2008-03-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CO1582363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO55678866Medicaid
COP86328Medicare UPIN
CO802236Medicare ID - Type Unspecified