Provider Demographics
NPI:1871810127
Name:HELTON, PAULA (LPN)
Entity type:Individual
Prefix:
First Name:PAULA
Middle Name:
Last Name:HELTON
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1425 EAST 263RD STREET
Mailing Address - Street 2:1425 EAST 263RD STREET
Mailing Address - City:EUCLID
Mailing Address - State:OHIO
Mailing Address - Zip Code:44132
Mailing Address - Country:UM
Mailing Address - Phone:216-310-0370
Mailing Address - Fax:
Practice Address - Street 1:1425 EAST 263RD STREET
Practice Address - Street 2:
Practice Address - City:EUCLID
Practice Address - State:OHIO
Practice Address - Zip Code:44132
Practice Address - Country:UM
Practice Address - Phone:216-310-0370
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-27
Last Update Date:2010-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN118090MEDS164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse