Individual provider · Type 1 NPI
Amantha Theodore
Family Nurse Practitioner · Mount Vernon, NY
NPI number
1003421066
Active
Practice location
531 E Lincoln Ave Apt 4N
Mount Vernon, NY 10552-3743
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | RN9364653 (FL) |
Family Nurse Practitioner: Definition to come...
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About NPI 1003421066
Amantha Theodore's National Provider Identifier is 1003421066, issued on Sep 15, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Mount Vernon, NY. The record was last updated on Sep 15, 2020.