Provider Demographics
NPI:1851618250
Name:ACHAMPONG, HELENA (LPN)
Entity Type:Individual
Prefix:MS
First Name:HELENA
Middle Name:
Last Name:ACHAMPONG
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1994 HUGHES AVE
Mailing Address - Street 2:APT 2ND FLOOR
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10457-4902
Mailing Address - Country:US
Mailing Address - Phone:347-256-6354
Mailing Address - Fax:
Practice Address - Street 1:1994 HUGHES AVE
Practice Address - Street 2:APT 2ND FLOOR
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10457-4902
Practice Address - Country:US
Practice Address - Phone:347-256-6354
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-23
Last Update Date:2010-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY269590-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse