Provider Demographics
NPI:1366163875
Name:BROUGHER, HELEN CATHERINE (LPN)
Entity type:Individual
Prefix:MRS
First Name:HELEN
Middle Name:CATHERINE
Last Name:BROUGHER
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:HELEN
Other - Middle Name:CATHERINE
Other - Last Name:NAUYOKAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPN
Mailing Address - Street 1:314 GEISSLER RD
Mailing Address - Street 2:
Mailing Address - City:MONTESANO
Mailing Address - State:WA
Mailing Address - Zip Code:98563-9641
Mailing Address - Country:US
Mailing Address - Phone:360-545-5661
Mailing Address - Fax:
Practice Address - Street 1:516 E 1ST ST
Practice Address - Street 2:
Practice Address - City:ABERDEEN
Practice Address - State:WA
Practice Address - Zip Code:98520-4106
Practice Address - Country:US
Practice Address - Phone:360-986-5864
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-05
Last Update Date:2022-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALP00046297164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse