Individual provider · Type 1 NPI
Theresa Marie Kotash, LPN
Pediatric Nurse Practitioner · Wappingers Falls, NY
NPI number
1073782595
Active
Practice location
71 Brown Rd
Wappingers Falls, NY 12590
Mailing address
71 Brown Road
Wappingers Falls, NY 12590
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 2880831 (NY) |
Pediatric Nurse Practitioner: Definition to come...
About NPI 1073782595
Theresa Marie Kotash, LPN's National Provider Identifier is 1073782595, issued on Feb 28, 2008. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Wappingers Falls, NY. The record was last updated on Feb 28, 2008.