MRS. DONNA ANTONIA THEODORE PA-C NPI 1366470791

NPI Information

NPI: 1366470791
Provider Name: MRS. DONNA ANTONIA THEODORE, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
3604 BUSH ST
RALEIGH, NC
ZIP 27609
Phone: (919) 876-7807
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MRS. Donna Antonia Theodore, PA-C is a medical physician assistant in Raleigh, NC. MRS. Donna Antonia Theodore, PA-C NPI is 1366470791. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3604 BUSH ST
RALEIGH, NC
ZIP 27609-511
Phone: (919) 876-7807
Fax: (919) 876-8823

The NPI 1366470791 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 6/28/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	104147	NORTH CAROLINA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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