Provider Demographics
NPI:1669776555
Name:HIMEL, GEORGIA S (RN)
Entity type:Individual
Prefix:
First Name:GEORGIA
Middle Name:S
Last Name:HIMEL
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 1:24669 PECAN PL
Mailing Address - Street 2:
Mailing Address - City:PLAQUEMINE
Mailing Address - State:LA
Mailing Address - Zip Code:70764-3804
Mailing Address - Country:US
Mailing Address - Phone:225-687-2617
Mailing Address - Fax:
Practice Address - Street 1:24669 PECAN PL
Practice Address - Street 2:
Practice Address - City:PLAQUEMINE
Practice Address - State:LA
Practice Address - Zip Code:70764-3804
Practice Address - Country:US
Practice Address - Phone:225-687-2617
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-01-06
Last Update Date:2011-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LARN098290163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health