Basic Information
Provider Information
NPI: 1356794028
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HO
FirstName: HELEN
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 8835 AMERICAN WAY
Address2:  
City: ENGLEWOOD
State: CO
PostalCode: 801127056
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 8835 AMERICAN WAY
Address2:  
City: ENGLEWOOD
State: CO
PostalCode: 801127056
CountryCode: US
TelephoneNumber: 7206434300
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/19/2016
LastUpdateDate: 04/10/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
163W00000XRN.1647751CON Nursing Service ProvidersRegistered Nurse 
163W00000X7035101NYN Nursing Service ProvidersRegistered Nurse 
363LP0808XAPN.0993630-NPCOY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsych/Mental Health

No ID Information.


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