Theresa Marie Elliott, LPN Valid NPI

Individual provider · Licensed Practical Nurse · Copiague, NY

NPI

1992014864

Type

Individual (Type 1)

Primary specialty

Licensed Practical Nurse

Specialty group

Nursing Service Providers

Taxonomy code

164W00000X

License number

299712-1 (NY)

Sex

Female

Sole proprietor

Yes

Enumerated

2010-09-27

Last updated

2010-09-27