MEDICARE: MS. HELEN S MCNICHOLAS R.N., C.S., F.N.P.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	RN099009	AZ
2	363LF0000X	Family Nurse Practitioner	RN099009	AZ

General Provider Information

NPI Number	:	1598763989
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. HELEN S MCNICHOLAS R.N., C.S., F.N.P.

Provider Business Mailing Address
First Line	:	8307 E NEVILLE AVE
Second Line	:
City	:	MESA
State	:	AZ
Zip	:	85208-6730
Country	:	US
Telephone Number	:	480-984-2863
Fax Number	:

Provider Business Practice Location Address
First Line	:	8307 E NEVILLE AVE
Second Line	:
City	:	MESA
State	:	AZ
Zip	:	85208-6730
Country	:	US
Telephone Number	:	480-984-2863
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/11/2005
Last Update Date	:	09/11/2025

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