Basic Information
Provider Information
NPI: 1043954753
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ABREGO
FirstName: HELEN
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: RN
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 360 FOREST ST
Address2:  
City: METHUEN
State: MA
PostalCode: 018441938
CountryCode: US
TelephoneNumber: 8573641769
FaxNumber:  
Practice Location
Address1: 33 TOWER ST
Address2:  
City: SOMERVILLE
State: MA
PostalCode: 021431426
CountryCode: US
TelephoneNumber: 6176651000
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/27/2022
LastUpdateDate: 04/27/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 04/27/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
163W00000X2343308MAY Nursing Service ProvidersRegistered Nurse 

No ID Information.


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