THERESA FAITH ECONOMOU NURSE PRACTITIONER NPI 1780713461

NPI Information

NPI: 1780713461
Provider Name: THERESA FAITH ECONOMOU, NURSE PRACTITIONER
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

Address:
1025 VERDAE BLVD
SUITE A
GREENVILLE, SC
ZIP 29607
Phone: (864) 242-4683
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Theresa Faith Economou, NURSE PRACTITIONER is an adult health nurse practitioner in Greenville, SC. Theresa Faith Economou, NURSE PRACTITIONER NPI is 1780713461. 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:

1025 VERDAE BLVD
SUITE A
GREENVILLE, SC
ZIP 29607-032
Phone: (864) 242-4683
Fax: (864) 240-5028

The enumeration date for this NPI number is 3/5/2007 and was last updated on 3/7/2023.

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	363LA2200X	Nurse Practitioner	Adult Health	201404814NP-PP	OREGON	No
2	363LA2200X	Nurse Practitioner	Adult Health	F301965	NEW YORK	No
3	363LA2200X	Nurse Practitioner	Adult Health	3125	SOUTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	201404814NP-PP	OTHER	OREGON	ADULT NURSE PRACTITIONER
2	201403477 RN	OTHER	OREGON	RN
3	NP1489	MEDICAID	SOUTH CAROLINA
4	3125RX	OTHER	SOUTH CAROLINA	ADVANCED PRACTICE RN

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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