Provider Demographics
NPI:1205803103
Name:TRAHAN, HELEN B (NP)
Entity type:Individual
Prefix:
First Name:HELEN
Middle Name:B
Last Name:TRAHAN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:569 HICKORY WOOD DR
Mailing Address - Street 2:
Mailing Address - City:KANNAPOLIS
Mailing Address - State:NC
Mailing Address - Zip Code:28083-7109
Mailing Address - Country:US
Mailing Address - Phone:704-425-8776
Mailing Address - Fax:
Practice Address - Street 1:2727 SHAMROCK DR
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28205-2215
Practice Address - Country:US
Practice Address - Phone:704-519-2400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-03-01
Last Update Date:2022-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC201436363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC232009OtherMEDICARE
NC232009OtherMEDICARE