Provider Demographics
NPI:1235652561
Name:MEEHAN, HELEN MARIE (NP-C)
Entity Type:Individual
Prefix:MISS
First Name:HELEN
Middle Name:MARIE
Last Name:MEEHAN
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36 WANAMAKER AVE APT 208
Mailing Address - Street 2:
Mailing Address - City:WALDWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:07463-1635
Mailing Address - Country:US
Mailing Address - Phone:201-230-9716
Mailing Address - Fax:
Practice Address - Street 1:255 W SPRING VALLEY AVE STE 100
Practice Address - Street 2:
Practice Address - City:MAYWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07607-1444
Practice Address - Country:US
Practice Address - Phone:201-291-4075
Practice Address - Fax:201-881-0109
Is Sole Proprietor?:No
Enumeration Date:2017-07-19
Last Update Date:2018-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00740500363LG0600X, 363LP2300X, 363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care