Individual provider · Type 1 NPI

Theresa Marie Clearwater, FNP

Family Nurse Practitioner · Newburgh, NY

NPI number 1104207893 Active

Practice location

1200 Route 300
Newburgh, NY 12550-5003

Call (845) 703-6999 Map

Fax (845) 703-6297

Mailing address

155 Crystal Run Rd
Middletown, NY 10941-4028

Specialties and licenses

Taxonomy	Code	License
Family Nurse Practitioner Primary	363LF0000X	F339710-1 (NY)

Family Nurse Practitioner: Definition to come...

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About NPI 1104207893

Theresa Marie Clearwater, FNP's National Provider Identifier is 1104207893, issued on Jun 18, 2015. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Newburgh, NY. The record was last updated on Aug 6, 2020.