Healthcare Provider Details

I. General information

NPI: 1720145394
Provider Name (Legal Business Name): NANCY HELLMAN RNCS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/03/2007
Last Update Date: 05/23/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26 CENTRAL ST
SOMERVILLE MA
02143
US

IV. Provider business mailing address

26 CENTRAL ST
SOMERVILLE MA
02143-2827
US

V. Phone/Fax

Practice location:
  • Phone: 617-575-5570
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number126215
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code364SP0808X
TaxonomyPsychiatric/Mental Health Clinical Nurse Specialist
License NumberRN126215
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: