Provider Demographics
NPI:1306904925
Name:HELLENGA, NADIA (PHARMD)
Entity type:Individual
Prefix:DR
First Name:NADIA
Middle Name:
Last Name:HELLENGA
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:NADIA
Other - Middle Name:
Other - Last Name:ZALUSKY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:107 DUKE DR
Mailing Address - Street 2:
Mailing Address - City:BEAR
Mailing Address - State:DE
Mailing Address - Zip Code:19701-4004
Mailing Address - Country:US
Mailing Address - Phone:302-733-6340
Mailing Address - Fax:302-733-3572
Practice Address - Street 1:4755 OGLETOWN-STANTON RD
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19718-0001
Practice Address - Country:US
Practice Address - Phone:302-733-6340
Practice Address - Fax:302-733-3572
Is Sole Proprietor?:No
Enumeration Date:2006-12-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEA1-0003329183500000X
PARP437145183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist