Provider Demographics
NPI:1437657061
Name:HELLAND, LIANE P (RN)
Entity Type:Individual
Prefix:
First Name:LIANE
Middle Name:P
Last Name:HELLAND
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 1:42 FAIRMONT ST UNIT 2
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:02474-8718
Mailing Address - Country:US
Mailing Address - Phone:508-451-1149
Mailing Address - Fax:
Practice Address - Street 1:42 FAIRMONT ST UNIT 2
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:MA
Practice Address - Zip Code:02474-8718
Practice Address - Country:US
Practice Address - Phone:508-451-1149
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-01-29
Last Update Date:2018-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2272429163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse