Basic Information
| Provider Information | |||||||||
| NPI: | 1982071429 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | IN'T VELD | ||||||||
| FirstName: | HELENA | ||||||||
| MiddleName: | MARIE | ||||||||
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| Credential: | FNP-C | ||||||||
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| Mailing Information | |||||||||
| Address1: | 13065 W. MCDOWELL RD STE B-108 | ||||||||
| Address2: | |||||||||
| City: | AVONDALE | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 85392 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6235124320 | ||||||||
| FaxNumber: | 6235124321 | ||||||||
| Practice Location | |||||||||
| Address1: | 13065 W. MCDOWELL RD STE B-108 | ||||||||
| Address2: | |||||||||
| City: | AVONDALE | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 85392 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6235124320 | ||||||||
| FaxNumber: | 6235124321 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/01/2015 | ||||||||
| LastUpdateDate: | 01/22/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LF0000X | TAP8101 | AZ | N | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family | 363L00000X | AP8101 | AZ | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
No ID Information.