Provider Demographics
NPI:1932950466
Name:REAY, HELENA BRONTE CHRISTIANSON (RN, BSN, APRN)
Entity type:Individual
Prefix:
First Name:HELENA
Middle Name:BRONTE CHRISTIANSON
Last Name:REAY
Suffix:
Gender:F
Credentials:RN, BSN, APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 RETREAT AVE
Mailing Address - Street 2:
Mailing Address - City:HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06102-3102
Mailing Address - Country:US
Mailing Address - Phone:801-244-2521
Mailing Address - Fax:
Practice Address - Street 1:200 RETREAT AVE
Practice Address - Street 2:
Practice Address - City:HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06102-3102
Practice Address - Country:US
Practice Address - Phone:801-244-2521
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-01
Last Update Date:2024-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT13549363LP0808X
UT12296745-3102163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health