Provider Demographics
NPI:1972727162
Name:PADILLA, HELEN (RN)
Entity Type:Individual
Prefix:
First Name:HELEN
Middle Name:
Last Name:PADILLA
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 1:150 11TH AVE SW
Mailing Address - Street 2:
Mailing Address - City:LARGO
Mailing Address - State:FL
Mailing Address - Zip Code:33770-7421
Mailing Address - Country:US
Mailing Address - Phone:727-729-5913
Mailing Address - Fax:727-729-5913
Practice Address - Street 1:124 OVERBROOK DR E
Practice Address - Street 2:
Practice Address - City:LARGO
Practice Address - State:FL
Practice Address - Zip Code:33770-2823
Practice Address - Country:US
Practice Address - Phone:727-586-0820
Practice Address - Fax:727-586-0820
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN3226792163WA2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WA2000XNursing Service ProvidersRegistered NurseAdministrator
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLRN3226792OtherREGISTERED NURSE