Provider Demographics
NPI:1487298956
Name:MU, HELEN HUILI (DNP)
Entity type:Individual
Prefix:
First Name:HELEN
Middle Name:HUILI
Last Name:MU
Suffix:
Gender:F
Credentials:DNP
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Mailing Address - Street 1:960 MASSACHUSETTS AVE
Mailing Address - Street 2:FL 2
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02118-2690
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:725 ALBANY STREET
Practice Address - Street 2:SHAPIRO BLDG SUITE 9 B & C
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02118-2526
Practice Address - Country:US
Practice Address - Phone:617-414-4290
Practice Address - Fax:617-414-4285
Is Sole Proprietor?:No
Enumeration Date:2019-10-29
Last Update Date:2024-04-23
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Provider Licenses
StateLicense IDTaxonomies
MARN2354988363LG0600X, 363LG0600X
NYF309381363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontologyGroup - Single Specialty
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA110192167AMedicaid
NH3137324Medicaid