Individual provider · Type 1 NPI
Theodore Howard Vineyard, NP
Adult Health Nurse Practitioner · Rochester, NY
NPI number
1689954091
Active
Practice location
601 Elmwood Ave, Box Surg 8-3600
Rochester, NY 14642-0001
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 305756 (NY) |
| Adult Health Nurse Practitioner Primary | 363LA2200X | F305756-1 (NY) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1689954091
Theodore Howard Vineyard, NP's National Provider Identifier is 1689954091, issued on Aug 17, 2011. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Rochester, NY. The record was last updated on Jul 6, 2023.