Provider Demographics
NPI:1457302978
Name:CARCIO, HELEN A (NP)
Entity Type:Individual
Prefix:MS
First Name:HELEN
Middle Name:A
Last Name:CARCIO
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:235 GREENFIELD RD
Mailing Address - Street 2:
Mailing Address - City:SO DEERFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01373-9790
Mailing Address - Country:US
Mailing Address - Phone:413-665-1555
Mailing Address - Fax:413-339-6803
Practice Address - Street 1:235 GREENFIELD RD
Practice Address - Street 2:
Practice Address - City:SO DEERFIELD
Practice Address - State:MA
Practice Address - Zip Code:01373-9790
Practice Address - Country:US
Practice Address - Phone:413-665-1555
Practice Address - Fax:413-339-5803
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA112157363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0351890Medicaid
MAS73377Medicare UPIN