Individual provider · Type 1 NPI
Carol Theodore, FNP
Family Nurse Practitioner · Somers, NY
NPI number
1609092824
Active
Practice location
Colonial Court, 374 Route 116
Somers, NY 10589
Fax (914) 276-0883
Mailing address
PO Box 306
Somers, NY 10589-0306
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | F333595 (NY) |
Family Nurse Practitioner: Definition to come...
Other family nurse practitioner providers in Somers
About NPI 1609092824
Carol Theodore, FNP's National Provider Identifier is 1609092824, issued on Apr 17, 2007. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Somers, NY. The record was last updated on Sep 5, 2007.