Miss Amantha Theodore
Nurse Practitioner, Family in Mount Vernon, New York
1003421066- Practice location
- 531 E Lincoln Ave Apt 4N, Mount Vernon, NY 10552-3743
- Phone
- 718-920-9000
- Fax
- —
- Last updated
- September 15, 2020
Amantha Theodore is a Nurse Practitioner, Family based in Mount Vernon, NY. Amantha Theodore practices in Mount Vernon, NY. The NPI Number for Amantha Theodore is 1003421066 and holds a License No. RN9364653 (FL). The current practice location address for Amantha Theodore is 531 E Lincoln Ave Apt 4N, Mount Vernon, NY 10552-3743 and can be reached out via phone at 718-920-9000.
Provider Profile Details
- NPI Number
- 1003421066
- Provider Name
- Amantha Theodore
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 531 E Lincoln Ave Apt 4N, Mount Vernon, NY 10552-3743
- Phone Number
- 718-920-9000
- Primary Taxonomy
- Nurse Practitioner, Family · 363LF0000X
- Sole Proprietor
- No
- Provider Enumeration Date
- September 15, 2020
- Last Update Date
- September 15, 2020
- Certification Date
- September 15, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 531 E Lincoln Ave Apt 4N
Mount Vernon, NY 10552-3743 - City
- Mount Vernon
- State
- New York
- Zip
- 10552-3743
- Phone Number
- 718-920-9000
Provider Business Mailing Address Details
- Address
- 531 E Lincoln Ave Apt 4N
Mount Vernon, NY 10552-3743 - City
- Mount Vernon
- State
- NY
- Zip
- 10552-3743
License Information
- License Number
- RN9364653
- License State
- FL
- Taxonomy
- Nurse Practitioner, Family · 363LF0000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Miss Amantha Theodore?
The NPI number of Miss Amantha Theodore is 1003421066. It was assigned on September 15, 2020 and is currently active in the NPPES registry.
What is the specialty of Miss Amantha Theodore?
Miss Amantha Theodore is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in FL under license number RN9364653.
Where does Miss Amantha Theodore practice?
The practice location is 531 E Lincoln Ave Apt 4N, Mount Vernon, NY 10552-3743. The office can be reached at 718-920-9000 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1003421066 directly on the NPPES registry website.