MARK THEODORE, FNP-BC

Nurse Practitioner - Family

Active Individual
NPI: 1457793135

Practice Address

1656 CHAMPLIN AVE
Utica, NY 13502

Phone: (315) 624-6000

Specialties

Specialty Code Primary License
Registered Nurse - Critical Care Medicine 163WC0200X No 629932 (NY)
Nurse Practitioner - Family 363LF0000X Yes 338083 (NY)

Frequently Asked Questions

NPI 1457793135 is the National Provider Identifier for MARK THEODORE, FNP-BC, a Nurse Practitioner - Family provider located in Utica, NY. This NPI was enumerated on July 23, 2013.
MARK THEODORE, FNP-BC practices at 1656 CHAMPLIN AVE, Utica, NY 13502.

Quick Facts

NPI
1457793135
Type
Individual
Enumerated
Jul 23, 2013
Last Updated
Jul 23, 2013

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