Provider Demographics
NPI:1376211888
Name:ZACCARIA, HELEN (RN, IBCLC)
Entity type:Individual
Prefix:
First Name:HELEN
Middle Name:
Last Name:ZACCARIA
Suffix:
Gender:F
Credentials:RN, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3036 EDMONDS RD
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE HILL
Mailing Address - State:PA
Mailing Address - Zip Code:19444-2032
Mailing Address - Country:US
Mailing Address - Phone:732-610-8390
Mailing Address - Fax:
Practice Address - Street 1:3036 EDMONDS RD
Practice Address - Street 2:
Practice Address - City:LAFAYETTE HILL
Practice Address - State:PA
Practice Address - Zip Code:19444-2032
Practice Address - Country:US
Practice Address - Phone:732-610-8390
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-31
Last Update Date:2021-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN628311163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant