Provider Demographics
NPI:1023298775
Name:BARDIS, HELEN KARELLAS (CPNP)
Entity type:Individual
Prefix:
First Name:HELEN
Middle Name:KARELLAS
Last Name:BARDIS
Suffix:
Gender:F
Credentials:CPNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9430 FORESTWOOD LN
Mailing Address - Street 2:SUITE 100
Mailing Address - City:MANASSAS
Mailing Address - State:VA
Mailing Address - Zip Code:20110-4753
Mailing Address - Country:US
Mailing Address - Phone:703-365-0227
Mailing Address - Fax:
Practice Address - Street 1:9430 FORESTWOOD LN
Practice Address - Street 2:SUITE 100
Practice Address - City:MANASSAS
Practice Address - State:VA
Practice Address - Zip Code:20110-4753
Practice Address - Country:US
Practice Address - Phone:703-365-0227
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-11-10
Last Update Date:2007-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024167596363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics