Provider Demographics
NPI:1588869499
Name:MCWATERS, HELEN KATE (LPN)
Entity type:Individual
Prefix:
First Name:HELEN
Middle Name:KATE
Last Name:MCWATERS
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 1:1773 PELEIHOLANI CT # B
Mailing Address - Street 2:
Mailing Address - City:KAILUA
Mailing Address - State:HI
Mailing Address - Zip Code:96734-5107
Mailing Address - Country:US
Mailing Address - Phone:808-489-9187
Mailing Address - Fax:
Practice Address - Street 1:1773 PELEIHOLANI CT # B
Practice Address - Street 2:
Practice Address - City:KAILUA
Practice Address - State:HI
Practice Address - Zip Code:96734-5107
Practice Address - Country:US
Practice Address - Phone:808-489-9187
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALP00057776164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse