Provider Demographics
NPI:1144884644
Name:COCEANO, HELEN RENEE (MD)
Entity type:Individual
Prefix:
First Name:HELEN
Middle Name:RENEE
Last Name:COCEANO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:HELEN
Other - Middle Name:RENEE
Other - Last Name:OSBORNE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1375 W RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:WYTHEVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:24382-5011
Mailing Address - Country:US
Mailing Address - Phone:276-228-8686
Mailing Address - Fax:276-228-7933
Practice Address - Street 1:1375 W RIDGE RD
Practice Address - Street 2:
Practice Address - City:WYTHEVILLE
Practice Address - State:VA
Practice Address - Zip Code:24382-5011
Practice Address - Country:US
Practice Address - Phone:276-228-8686
Practice Address - Fax:276-228-4052
Is Sole Proprietor?:No
Enumeration Date:2019-04-30
Last Update Date:2024-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
VA0101275516207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program