Provider Demographics
NPI:1700651593
Name:HENLEY, HELEN ANDREA
Entity Type:Individual
Prefix:MRS
First Name:HELEN
Middle Name:ANDREA
Last Name:HENLEY
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 1:911 3RD AVE SE
Mailing Address - Street 2:
Mailing Address - City:HETTINGER
Mailing Address - State:ND
Mailing Address - Zip Code:58639-8811
Mailing Address - Country:US
Mailing Address - Phone:701-928-1094
Mailing Address - Fax:
Practice Address - Street 1:911 3RD AVE SE
Practice Address - Street 2:
Practice Address - City:HETTINGER
Practice Address - State:ND
Practice Address - Zip Code:58639-8811
Practice Address - Country:US
Practice Address - Phone:701-928-1094
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-21
Last Update Date:2023-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376J00000XNursing Service Related ProvidersHomemakerGroup - Single Specialty