Provider Demographics
NPI:1750562203
Name:LOZANO, HELEN MARIE (CRNP)
Entity type:Individual
Prefix:MRS
First Name:HELEN
Middle Name:MARIE
Last Name:LOZANO
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:HELEN
Other - Middle Name:MARIE
Other - Last Name:CALLAHAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:3514 SAWMILL RD
Mailing Address - Street 2:
Mailing Address - City:NEWTOWN SQUARE
Mailing Address - State:PA
Mailing Address - Zip Code:19073-2014
Mailing Address - Country:US
Mailing Address - Phone:610-325-0333
Mailing Address - Fax:
Practice Address - Street 1:2600 W 9TH ST
Practice Address - Street 2:
Practice Address - City:CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19013-2040
Practice Address - Country:US
Practice Address - Phone:610-494-0700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-11-26
Last Update Date:2018-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP0194512084P0800X
PASP009700363LF0000X
PAVP004686D363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA122858XRUMedicare PIN
PA122858XRNMedicare PIN