Provider Demographics
NPI:1548906175
Name:HELEN PASLAY PROFESSIONAL NURSE PRACTITIONER SERVICES PLLC
Entity type:Organization
Organization Name:HELEN PASLAY PROFESSIONAL NURSE PRACTITIONER SERVICES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HELEN
Authorized Official - Middle Name:
Authorized Official - Last Name:PASLAY
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:928-301-0158
Mailing Address - Street 1:3956 N WAKEFIELD DR
Mailing Address - Street 2:
Mailing Address - City:PRESCOTT VALLEY
Mailing Address - State:AZ
Mailing Address - Zip Code:86314-6704
Mailing Address - Country:US
Mailing Address - Phone:928-277-0593
Mailing Address - Fax:928-277-4463
Practice Address - Street 1:3625 CROSSINGS DR STE B
Practice Address - Street 2:
Practice Address - City:PRESCOTT
Practice Address - State:AZ
Practice Address - Zip Code:86305-7159
Practice Address - Country:US
Practice Address - Phone:928-277-0593
Practice Address - Fax:928-277-4463
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-06
Last Update Date:2022-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty