| Doctor Name: | MS. HELENE A DISANTOS |
| NPI Number: | 1013966688 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NURSE PRACTITIONER |
| License Number: | 73965 |
| Business Practice Address: | 112 E New York Ave Suite E Deland, FL - 327245504 |
| Business Phone Number: | 3867340121 |
| Business Fax Number: | 3867340332 |
| Mailing Address: | 6 Aucuba Cir, ORMOND BEACH |
| State: | FL |
| Postal Code: | 321741494 |
| Phone Number: | 3866760062 |
| Fax Number: | |
| NPI Enumeration Date: | 05/09/2006 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | 73965 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |