Dudley Burrell, Helen Balmaceda
Dudley Burrell, Helen Balmaceda is an individual health care provider with primary practice located at 236 Clearfield Ave Ste 215 , Virginia Beach VA 23462-1893. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Case Management, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Dudley Burrell, Helen Balmaceda can be contacted via phone (757) 853-1380.Contact Information
Primary practice address
236 Clearfield Ave Ste 215
Virginia Beach VA 23462-1893
Phone: (757) 853-1380
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Case Management | 163WC0400X | 0001224788 | Virginia |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 0024177010 | Virginia |
Profile Details
| NPI number | 1558834853 |
|---|---|
| LBN Legal business name | Dudley Burrell, Helen Balmaceda |
| Credentials | NURSE PRACTITIONER |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 9th, 2019 |
| Last updated | Feb 7th, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558834853 | NPPES |
| Virginia | Other | 0017145636 | LICENSE TO PRESCRIBE |
| Virginia | Other | 0024177010 | LICENSE TO PRESCRIBE |
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