Theresa Burden, RN
Individual provider Active NPI Registered Nurse · Uniondale, NY
NPI 1164723136 · NPPES record last updated Nov 8, 2010
Key facts
- NPI
- 1164723136
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 619803 (NY)
- Practice address
- 408 Maple Ave
Uniondale, NY 11553-1823 - Phone
- (718) 671-2100
- NPI assigned
- Nov 8, 2010
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 619803 | NY | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 619803 | NY | Yes |
Addresses
Primary practice location
408 Maple Ave
Uniondale, NY 11553-1823
Mailing address
408 Maple Ave
Uniondale, NY 11553-1823
Phone (718) 671-2100
Other providers in Uniondale, NY
- Danielle Brown
- Dwayne Brown
- Christopher Michael Brusalis
- Judy S Brustein
- Building Better Mindz, Inc.
- Joy Buscemi
- Thierry Busreth
- Gisela Yamilet Canales
- Donald James Cantalino
- Care 1 Plus Inc
All providers in Uniondale, NY · Registered Nurse in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 8, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.