Provider Demographics
NPI:1942529706
Name:ZONDER, HELENE BARBARA (NP)
Entity Type:Individual
Prefix:
First Name:HELENE
Middle Name:BARBARA
Last Name:ZONDER
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 1:1500 E. DUARTE ROAD
Mailing Address - Street 2:BLDG DPS, 108
Mailing Address - City:DUARTE
Mailing Address - State:CA
Mailing Address - Zip Code:91010-3000
Mailing Address - Country:US
Mailing Address - Phone:626-256-4673
Mailing Address - Fax:626-471-9311
Practice Address - Street 1:1500 E. DUARTE ROAD
Practice Address - Street 2:BLDG DPS, 108
Practice Address - City:DUARTE
Practice Address - State:CA
Practice Address - Zip Code:91010-3000
Practice Address - Country:US
Practice Address - Phone:626-256-4673
Practice Address - Fax:626-471-9311
Is Sole Proprietor?:No
Enumeration Date:2010-05-19
Last Update Date:2010-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA294186363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner