Provider Demographics
NPI:1124679022
Name:COKER, HELENA (ND)
Entity type:Individual
Prefix:
First Name:HELENA
Middle Name:
Last Name:COKER
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4644 N 22ND ST UNIT 2127
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85016-4673
Mailing Address - Country:US
Mailing Address - Phone:571-423-8486
Mailing Address - Fax:
Practice Address - Street 1:4644 N 22ND ST UNIT 2127
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85016-4673
Practice Address - Country:US
Practice Address - Phone:571-423-8486
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-23
Last Update Date:2019-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ19-1803175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath