Healthcare Provider Details

I. General information

NPI: 1265818512
Provider Name (Legal Business Name): HELENA GUERRA WHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/09/2015
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

KADENA MEDICAL FACILITY
KADENA APO
96368
JP

IV. Provider business mailing address

KADENA MEDICAL FACILITY
KADENA APO
96368
JP

V. Phone/Fax

Practice location:
  • Phone:
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number8405765-4405
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: