Provider Demographics
NPI:1700473923
Name:FLENTROY, HELEN (RN)
Entity Type:Individual
Prefix:
First Name:HELEN
Middle Name:
Last Name:FLENTROY
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 1:38 LEATHERWOOD PL APT C
Mailing Address - Street 2:
Mailing Address - City:ROSEDALE
Mailing Address - State:MD
Mailing Address - Zip Code:21237-3509
Mailing Address - Country:US
Mailing Address - Phone:202-424-3641
Mailing Address - Fax:
Practice Address - Street 1:38 LEATHERWOOD PL APT C
Practice Address - Street 2:
Practice Address - City:ROSEDALE
Practice Address - State:MD
Practice Address - Zip Code:21237-3509
Practice Address - Country:US
Practice Address - Phone:202-424-3641
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-22
Last Update Date:2020-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX979208163W00000X, 163WA2000X
TX979207207RI0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WA2000XNursing Service ProvidersRegistered NurseAdministrator
No163W00000XNursing Service ProvidersRegistered Nurse
No207RI0001XAllopathic & Osteopathic PhysiciansInternal MedicineClinical & Laboratory Immunology