Individual provider · Type 1 NPI

Theresa Faith Economou, NURSE PRACTITIONER

Adult Health Nurse Practitioner · Greenville, SC

NPI number 1780713461 Active

Practice location

1025 Verdae Blvd, Suite A
Greenville, SC 29607-4032

Fax (864) 240-5028

Mailing address

1 Independence Pt Ste 212
Greenville, SC 29615-4536

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner 363LA2200X201404814NP-PP (OR)
Adult Health Nurse Practitioner 363LA2200XF301965 (NY)
Adult Health Nurse Practitioner Primary 363LA2200X3125 (SC)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1780713461

Theresa Faith Economou, NURSE PRACTITIONER's National Provider Identifier is 1780713461, issued on Mar 5, 2007. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Greenville, SC. The record was last updated on Mar 7, 2023.