Individual
MS. HELENE SUSAN DEHAAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1519 3RD ST SE, SUITE 101, PUYALLUP, WA 98372-3742
(253) 841-8939
(253) 445-0756
Mailing address
1519 3RD ST SE, SUITE 101, PUYALLUP, WA 98372-3742
(253) 841-8939
(253) 445-0756
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
671697
TX
363LF0000X
Family Nurse Practitioner
Primary
AP60184955
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
156621801
—
TX
05
—
156621802
—
TX
05
—
156621803
—
TX
05
—
156621804
—
TX
05
—
156621805
—
TX
05
—
156621806
—
TX
01
—
8N3351
BLUE CROSS BLUE SHIELD
TX
01
—
P00204887
RAILROAD
TX
Enumeration date
12/29/2005
Last updated
04/04/2014
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