Provider Demographics
NPI:1699236315
Name:MULLEN, HELEN (MS, RD, CDN)
Entity type:Individual
Prefix:
First Name:HELEN
Middle Name:
Last Name:MULLEN
Suffix:
Gender:F
Credentials:MS, RD, CDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:719 ADAMS ST APT 2L
Mailing Address - Street 2:
Mailing Address - City:HOBOKEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07030-2857
Mailing Address - Country:US
Mailing Address - Phone:646-385-1535
Mailing Address - Fax:
Practice Address - Street 1:719 ADAMS ST APT 2L
Practice Address - Street 2:
Practice Address - City:HOBOKEN
Practice Address - State:NJ
Practice Address - Zip Code:07030-2857
Practice Address - Country:US
Practice Address - Phone:646-385-1535
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-26
Last Update Date:2019-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY008335133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered