Basic Information
Provider Information
NPI: 1205995073
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MILEY
FirstName: HELEN
MiddleName: M
NamePrefix:  
NameSuffix:  
Credential: RN, APN
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 75 SUNNYSIDE RD
Address2:  
City: HOWELL
State: NJ
PostalCode: 077311120
CountryCode: US
TelephoneNumber: 7327458600
FaxNumber:  
Practice Location
Address1: 254 EASTON AVE
Address2:  
City: NEW BRUNSWICK
State: NJ
PostalCode: 089011766
CountryCode: US
TelephoneNumber: 7327458600
FaxNumber:  
Other Information
ProviderEnumerationDate: 12/08/2006
LastUpdateDate: 07/15/2008
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
364SA2100X61901NJY Physician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistAcute Care

No ID Information.


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