Provider Demographics
NPI:1700275492
Name:ANYIAM, HELEN
Entity Type:Individual
Prefix:
First Name:HELEN
Middle Name:
Last Name:ANYIAM
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1205 BLAYDON CT
Mailing Address - Street 2:
Mailing Address - City:ROSENBERG
Mailing Address - State:TX
Mailing Address - Zip Code:77471-5687
Mailing Address - Country:US
Mailing Address - Phone:832-275-3391
Mailing Address - Fax:281-886-7501
Practice Address - Street 1:1205 BLAYDON CT
Practice Address - Street 2:
Practice Address - City:ROSENBERG
Practice Address - State:TX
Practice Address - Zip Code:77471-5687
Practice Address - Country:US
Practice Address - Phone:832-275-3391
Practice Address - Fax:281-886-7501
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-18
Last Update Date:2015-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF1014454363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily