Dr. Theresa Susanne Ameri, DNP FNP-BC
Nurse Practitioner, Family in Farmington, NM. Individual provider (NPI-1).
NPI number1770848780
StatusActive
Last updated in NPPESOct 2, 2024
Details
- NPI
- 1770848780
- Entity type
- Individual (NPI-1)
- Name
- Dr. Theresa Susanne Ameri
- Credential
- DNP FNP-BC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 6, 2012
- Certification date
- Oct 2, 2024
- Last updated
- Oct 2, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | AP61098358 | WA | Yes |
| 363LF0000X | Nurse Practitioner, Family | 0024170105 | VA |
Practice location
1001 W BroadwayFarmington, NM 87401-5638
Phone 505-325-8022
Mailing address
9718 S 245th PlKent, WA 98030-5038
Phone 703-657-9291
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