Provider Demographics
NPI:1225107188
Name:HELLER, DARLENE RUGIS (RN, BSN)
Entity Type:Individual
Prefix:MS
First Name:DARLENE
Middle Name:RUGIS
Last Name:HELLER
Suffix:
Gender:F
Credentials:RN, BSN
Other - Prefix:MS
Other - First Name:DARLENE
Other - Middle Name:
Other - Last Name:RUGIS
Other - Suffix:IV
Other - Last Name Type:Former Name
Other - Credentials:LPN
Mailing Address - Street 1:51 COGAN AVE
Mailing Address - Street 2:
Mailing Address - City:PLATTSBURGH
Mailing Address - State:NY
Mailing Address - Zip Code:12901-2534
Mailing Address - Country:US
Mailing Address - Phone:518-563-1972
Mailing Address - Fax:
Practice Address - Street 1:51 COGAN AVE
Practice Address - Street 2:
Practice Address - City:PLATTSBURGH
Practice Address - State:NY
Practice Address - Zip Code:12901-2534
Practice Address - Country:US
Practice Address - Phone:518-563-1972
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY312231-1163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health