Doctor Name: | MRS. MARY KATHRYN ODAHL HELI |
NPI Number: | 1043486673 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NURSE PRACTITIONER |
License Number: | R171005 |
Business Practice Address: | 1 Boone Rd Bremerton, WA - 983121894 |
Business Phone Number: | 3604754209 |
Business Fax Number: | |
Mailing Address: | 1 Boone Rd, BREMERTON |
State: | WA |
Postal Code: | 983121894 |
Phone Number: | 3604754209 |
Fax Number: | |
NPI Enumeration Date: | 05/04/2008 |
NPI Last Update Date: | 05/26/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LX0001X |
License Number: | R171005 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Obstetrics & Gynecology |
Taxonomy Definition: |