Doctor Name: | MRS. HELEN JODY FRIEND |
NPI Number: | 1063624807 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | RN117642 |
Business Practice Address: | 4621 S. 9th St. Whiteriver, AZ - 85941 |
Business Phone Number: | 9283381040 |
Business Fax Number: | |
Mailing Address: | 5339 Branding Iron Loop, PINETOP |
State: | AZ |
Postal Code: | 859358534 |
Phone Number: | 9285362684 |
Fax Number: | |
NPI Enumeration Date: | 05/04/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WS0200X |
License Number: | RN117642 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | School |
Taxonomy Definition: |