Provider Demographics
NPI:1689267221
Name:LONG, HELEN DAY (RN)
Entity Type:Individual
Prefix:
First Name:HELEN
Middle Name:DAY
Last Name:LONG
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 122
Mailing Address - Street 2:
Mailing Address - City:VANCEBORO
Mailing Address - State:ME
Mailing Address - Zip Code:04491-0122
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:79 SHAW ST
Practice Address - Street 2:
Practice Address - City:VANCEBORO
Practice Address - State:ME
Practice Address - Zip Code:04491-0449
Practice Address - Country:US
Practice Address - Phone:508-680-2525
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-15
Last Update Date:2021-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MERN75578163W00000X, 163WC1500X
MARN274697163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health
No163W00000XNursing Service ProvidersRegistered Nurse