Individual provider · Type 1 NPI
Anna Theodoridis, NP
Acute Care Nurse Practitioner · New York, NY
NPI number
1104505429
Active
Practice location
424 E 34th St
New York, NY 10016-4901
Mailing address
1914 21st Rd Apt 1D
Astoria, NY 11105-3690
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X | 432735 (NY) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1104505429
Anna Theodoridis, NP's National Provider Identifier is 1104505429, issued on Jul 13, 2023. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in New York, NY. The record was last updated on Jun 23, 2026.