Individual
ALANE JOYCE THEOFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
28 HANOVER PL, SMITHTOWN, NY 11787-3407
(631) 724-6167
Mailing address
28 HANOVER PL, SMITHTOWN, NY 11787-3407
(631) 724-6167
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
382058-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
382058-1
—
NY
Enumeration date
04/09/2010
Last updated
04/09/2010
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