Theresa Iheanachor
Registered Nurse in Bronx, NY. Individual provider (NPI-1).
NPI number1013485986
StatusActive
Last updated in NPPESNov 8, 2018
Details
- NPI
- 1013485986
- Entity type
- Individual (NPI-1)
- Name
- Theresa Iheanachor
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 8, 2018
- Last updated
- Nov 8, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | 743625 | NY | Yes |
Practice location
2542 University Ave Apt 3fBronx, NY 10468-4094
Phone 646-457-6562
Mailing address
2542 University Ave Apt 3fBronx, NY 10468-4094
Phone 646-457-6562
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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