Provider Demographics
NPI:1871886945
Name:COUTU, HELENE IDA (RN, CRRN)
Entity type:Individual
Prefix:
First Name:HELENE
Middle Name:IDA
Last Name:COUTU
Suffix:
Gender:F
Credentials:RN, CRRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4030 ALADAR CT
Mailing Address - Street 2:
Mailing Address - City:LAND O LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:34639-3962
Mailing Address - Country:US
Mailing Address - Phone:813-434-6708
Mailing Address - Fax:
Practice Address - Street 1:4030 ALADAR CT
Practice Address - Street 2:
Practice Address - City:LAND O LAKES
Practice Address - State:FL
Practice Address - Zip Code:34639-3962
Practice Address - Country:US
Practice Address - Phone:813-434-6708
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-24
Last Update Date:2011-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN1997402163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management