Provider Demographics
NPI:1245359975
Name:REISNER, HELENMAE (BA, BSN, RN, COHC)
Entity type:Individual
Prefix:MS
First Name:HELENMAE
Middle Name:
Last Name:REISNER
Suffix:
Gender:F
Credentials:BA, BSN, RN, COHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1011 1ST ST SE
Mailing Address - Street 2:APT 206
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20003-3392
Mailing Address - Country:US
Mailing Address - Phone:301-800-2082
Mailing Address - Fax:650-577-4671
Practice Address - Street 1:900 BRENTWOOD RD NE
Practice Address - Street 2:BOX 62
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20066-9998
Practice Address - Country:US
Practice Address - Phone:202-636-7304
Practice Address - Fax:215-636-5334
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-27
Last Update Date:2015-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR146996163WX0106X
PARN524084L163WX0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WX0106XNursing Service ProvidersRegistered NurseOccupational Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
1245359975OtherNPI