Individual
BEVERLY B THEUER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1799 LEHIGH STATION ROAD, RUSH-HENRIETTA SENIOR HIGH SCHOOL, HENRIETTA, NY 14467
(585) 359-5213
(585) 359-5187
Mailing address
2034 LEHIGH STATION ROAD, RUSH-HENRIETTA CENTRAL SCHOOL DISTRICT, HENRIETTA, NY 14467
(585) 359-5213
(585) 359-5187
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
255945-1
NY
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
255945-1
NY
163WS0200X
School Registered Nurse
Primary
255945-1
NY
Other
Enumeration date
10/27/2011
Last updated
10/27/2011
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