- Practice location
- 1200 Route 300, Newburgh, NY 12550-5003
- Phone
- 845-703-6999
- Fax
- 845-703-6297
- Last updated
- August 6, 2020
Theresa Marie Clearwater is a Nurse Practitioner, Family based in Newburgh, NY. Theresa Marie Clearwater practices in Newburgh, NY and has the professional credentials of FNP. The NPI Number for Theresa Marie Clearwater is 1104207893 and holds a License No. F339710-1 (NY). The current practice location address for Theresa Marie Clearwater is 1200 Route 300, Newburgh, NY 12550-5003 and can be reached out via phone at 845-703-6999 and via fax at 845-703-6297.
Provider Profile Details
- NPI Number
- 1104207893
- Provider Name
- Theresa Marie Clearwater
- Credential
- FNP
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1200 Route 300, Newburgh, NY 12550-5003
- Phone Number
- 845-703-6999
- Fax Number
- 845-703-6297
- Primary Taxonomy
- Nurse Practitioner, Family · 363LF0000X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 18, 2015
- Last Update Date
- August 6, 2020
- Certification Date
- August 6, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1200 Route 300
Newburgh, NY 12550-5003 - City
- Newburgh
- State
- New York
- Zip
- 12550-5003
- Phone Number
- 845-703-6999
- Fax Number
- 845-703-6297
Provider Business Mailing Address Details
- Address
- 155 Crystal Run RD
Middletown, NY 10941-4028 - City
- Middletown
- State
- NY
- Zip
- 10941-4028
- Phone Number
- 845-703-6999
- Fax Number
- 845-703-6297
License Information
- License Number
- F339710-1
- License State
- NY
- 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 Theresa M Clearwater, FNP?
The NPI number of Theresa M Clearwater, FNP is 1104207893. It was assigned on June 18, 2015 and is currently active in the NPPES registry.
What is the specialty of Theresa M Clearwater, FNP?
Theresa M Clearwater, FNP is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in NY under license number F339710-1.
Where does Theresa M Clearwater, FNP practice?
The practice location is 1200 Route 300, Newburgh, NY 12550-5003. The office can be reached at 845-703-6999 (phone) or 845-703-6297 (fax).
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 1104207893 directly on the NPPES registry website.