Individual provider · Type 1 NPI

Theresa Ann Menachery

Student in an Organized Health Care Education/Training Program · Norfolk, VA

NPI number 1063206084 Active

Practice location

825 Fairfax Ave
Norfolk, VA 23507-1914

Mailing address

6338 Golden Star Pl
Columbia, MD 21044-6101

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1063206084

Theresa Ann Menachery's National Provider Identifier is 1063206084, issued on Apr 7, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Norfolk, VA. The record was last updated on Apr 7, 2025.