Individual
THERESA FAITH ECONOMOU
Active
Individual
THERESA FAITH ECONOMOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
201404814NP-PP
OR
363LA2200X
Adult Health Nurse Practitioner
Primary
3125
SC
363LA2200X
Adult Health Nurse Practitioner
F301965
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
201403477 RN
RN
OR
01
—
201404814NP-PP
ADULT NURSE PRACTITIONER
OR
01
—
3125RX
ADVANCED PRACTICE RN
SC
05
—
NP1489
—
SC
Enumeration date
03/05/2007
Last updated
03/07/2023
Update your record
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