Provider Demographics
NPI:1194567917
Name:SPICCI, HELEN L (RN)
Entity type:Individual
Prefix:
First Name:HELEN
Middle Name:L
Last Name:SPICCI
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:HELEN
Other - Middle Name:L
Other - Last Name:BLOOD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:74 WADDELL AVE
Mailing Address - Street 2:
Mailing Address - City:FORT PLAIN
Mailing Address - State:NY
Mailing Address - Zip Code:13339-1462
Mailing Address - Country:US
Mailing Address - Phone:315-884-0221
Mailing Address - Fax:
Practice Address - Street 1:74 WADDELL AVE
Practice Address - Street 2:
Practice Address - City:FORT PLAIN
Practice Address - State:NY
Practice Address - Zip Code:13339-1462
Practice Address - Country:US
Practice Address - Phone:315-884-0221
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-11
Last Update Date:2024-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY672207-1163WP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult