1417131517 NPI number — MRS. HELEN IRENE CULVER REGISTERED NURSE PUB

Table of content: MRS. HELEN IRENE CULVER REGISTERED NURSE PUB (NPI 1417131517)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1417131517 NPI number — MRS. HELEN IRENE CULVER REGISTERED NURSE PUB

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
CULVER
Provider First Name:
HELEN
Provider Middle Name:
IRENE
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
REGISTERED NURSE PUB
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
FREEMAN
Provider Other First Name:
HELEN
Provider Other Middle Name:
IRENE
Provider Other Name Prefix Text:
MISS
Provider Other Name Suffix Text:
Provider Other Credential Text:
RN PHN
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1417131517
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
01/02/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
529 I STREET
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
EUREKA
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
95501-1116
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
707-268-2105
Provider Business Mailing Address Fax Number:
707-445-6091

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
529 I STREET
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
EUREKA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95501-1116
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
707-268-2105
Provider Business Practice Location Address Fax Number:
707-445-6091
Provider Enumeration Date:
12/26/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 163W00000X , with the licence number:  309595CARN , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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