Provider Demographics
NPI:1700187499
Name:HELENIUS, NICOLE O (RN)
Entity Type:Individual
Prefix:MS
First Name:NICOLE
Middle Name:O
Last Name:HELENIUS
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 1:116 JOHN ST FL 27
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10038-3414
Mailing Address - Country:US
Mailing Address - Phone:212-964-0128
Mailing Address - Fax:212-964-0112
Practice Address - Street 1:116 JOHN ST FL 27
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10038-3414
Practice Address - Country:US
Practice Address - Phone:212-964-0128
Practice Address - Fax:212-964-0112
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-11
Last Update Date:2010-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY635329-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse