Individual
HELENE S NILSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
111 MAIN ST, HYDE PARK, VT 05655
(802) 888-6215
(802) 888-9474
Mailing address
1728 LAPORTE RD, MORRISVILLE, VT 05661-8316
(802) 888-5891
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Primary
1010010221
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1005442
—
VT
Enumeration date
12/28/2006
Last updated
07/08/2007
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