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Miss Amantha Theodore
Family Nurse Practitioner in Mount Vernon, New York
NPI 1003421066

Amantha Theodore is a Family Nurse Practitioner based in Mount Vernon, NY and is specialized in Family. Amantha Theodore practices in Mount Vernon, NY. The NPI Number for Amantha Theodore is 1003421066 and holds a License No. RN9364653 (New York).

The current practice location address for Amantha Theodore is 531 E Lincoln Ave Apt 4N, Mount Vernon, NY and can be reached out via phone at 718-920-9000.

Location: 531 E Lincoln Ave Apt 4N, Mount Vernon, NY, 10552-3743
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1003421066
Provider Name
Amantha Theodore
Credential
Provider Entity Type
Individual
Gender
Female
Address
531 E Lincoln Ave Apt 4N, Mount Vernon, NY, 10552-3743
Phone Number
718-920-9000
Fax Number
Provider Enumeration Date
09/15/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
531 E Lincoln Ave Apt 4N
City
Mount Vernon
State
New York
Zip
10552-3743
Phone Number
718-920-9000
Fax Number
person
Provider Business Mailing Address Details
Address
531 E Lincoln Ave Apt 4N
City
Mount Vernon
State
New York
Zip
10552-3743
Phone Number
718-920-9000
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
RN9364653 (Florida)
Definition
Definition to come...
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