Provider Demographics
NPI:1114345295
Name:LAURENCY, HELENA (RN)
Entity Type:Individual
Prefix:
First Name:HELENA
Middle Name:
Last Name:LAURENCY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:136 S FRANKLIN ST
Mailing Address - Street 2:SUITE 4
Mailing Address - City:WILKES BARRE
Mailing Address - State:PA
Mailing Address - Zip Code:18701-1104
Mailing Address - Country:US
Mailing Address - Phone:570-235-6504
Mailing Address - Fax:570-235-6898
Practice Address - Street 1:136 S FRANKLIN ST
Practice Address - Street 2:SUITE 4
Practice Address - City:WILKES BARRE
Practice Address - State:PA
Practice Address - Zip Code:18701-1104
Practice Address - Country:US
Practice Address - Phone:570-235-6504
Practice Address - Fax:570-235-6898
Is Sole Proprietor?:No
Enumeration Date:2014-04-04
Last Update Date:2014-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA25383601163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health