Provider Demographics
NPI:1750034468
Name:HELLENDALL, NANCY SAMMIS (RN, BSN, IBCLC)
Entity Type:Individual
Prefix:MRS
First Name:NANCY
Middle Name:SAMMIS
Last Name:HELLENDALL
Suffix:
Gender:F
Credentials:RN, BSN, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7407 MOUNTAIN AVE
Mailing Address - Street 2:
Mailing Address - City:ELKINS PARK
Mailing Address - State:PA
Mailing Address - Zip Code:19027-3022
Mailing Address - Country:US
Mailing Address - Phone:215-635-7498
Mailing Address - Fax:
Practice Address - Street 1:1355 OLD YORK RD STE 101
Practice Address - Street 2:
Practice Address - City:ABINGTON
Practice Address - State:PA
Practice Address - Zip Code:19001-3413
Practice Address - Country:US
Practice Address - Phone:215-886-2433
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-02
Last Update Date:2022-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAL18785163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant