Individual provider · Type 1 NPI

Theresa Lorraine Stavola, ANP

Adult Health Nurse Practitioner · Stony Brook, NY

NPI number 1801045984 Active

Practice location

Hsc T16-080 Nicholls Rd Dept Of Internal Medicine, Div Of Cardiology Suny Stony Brook University Hospital
Stony Brook, NY 11794

Call (631) 444-1066 Map

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200X301910 (NY)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1801045984

Theresa Lorraine Stavola, ANP's National Provider Identifier is 1801045984, issued on Sep 15, 2008. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Stony Brook, NY. The record was last updated on Sep 15, 2008.