Provider Demographics
NPI:1275725434
Name:LENAHAN, HELENE ZELDA (RN)
Entity Type:Individual
Prefix:MRS
First Name:HELENE
Middle Name:ZELDA
Last Name:LENAHAN
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:PO BOX 314
Mailing Address - Street 2:
Mailing Address - City:OAKHAM
Mailing Address - State:MA
Mailing Address - Zip Code:01068-0314
Mailing Address - Country:US
Mailing Address - Phone:508-882-8006
Mailing Address - Fax:
Practice Address - Street 1:49 OAK LANE
Practice Address - Street 2:
Practice Address - City:OAKHAM
Practice Address - State:MA
Practice Address - Zip Code:01068-0314
Practice Address - Country:US
Practice Address - Phone:508-882-8006
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-13
Last Update Date:2007-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA89259163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA200707090007Medicaid