Dehaan, Helene Susan
Dehaan, Helene Susan is an individual health care provider with primary practice located at 1519 3Rd St Se Suite 101, Puyallup WA 98372-3742. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Dehaan, Helene Susan can be contacted via phone (253) 841-8939.Contact Information
Primary practice address
1519 3Rd St Se Suite 101
Puyallup WA 98372-3742
Phone: (253) 841-8939
Fax: (253) 445-0756
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 671697 | Texas |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | AP60184955 | Washington |
Profile Details
| NPI number | 1831176999 |
|---|---|
| LBN Legal business name | Dehaan, Helene Susan |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 29th, 2005 |
| Last updated | Apr 4th, 2014 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1831176999 | NPPES |
| Texas | MEDICAID | 156621801 | |
| Texas | MEDICAID | 156621802 | |
| Texas | MEDICAID | 156621804 | |
| Texas | MEDICAID | 156621805 | |
| Texas | MEDICAID | 156621806 | |
| Texas | Other | P00204887 | |
| Texas | Other | 8N3351 | |
| Texas | MEDICAID | 156621803 |
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