| Mark Theodore, FNP-BC | |
|
1656 Champlin Ave, Utica, NY 13502-4830 | |
| (315) 624-6000 | |
| Not Available |
| Full Name | Mark Theodore |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 1656 Champlin Ave, Utica, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457793135 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WC0200X | Registered Nurse - Critical Care Medicine | 629932 (New York) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 338083 (New York) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Theodore, FNP-BC 1656 Champlin Ave, Utica, NY 13502-4830 Ph: (315) 624-6000 | Mark Theodore, FNP-BC 1656 Champlin Ave, Utica, NY 13502-4830 Ph: (315) 624-6000 |
Sarah Dunham, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1650 Champlin Ave, Utica, NY 13502 Phone: 315-624-8400 | |
Miss Jenna Yager, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 111 Hospital Dr, Utica, NY 13502 Phone: 315-917-9966 | |
Cynthia A Altieri, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1400 Noyes St, Utica, NY 13502 Phone: 315-797-6800 | |
Thet Thet Mar, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 120 Hobart St, Utica, NY 13501 Phone: 315-798-1149 Fax: 315-734-3565 | |
Barbara Jean Drake, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2211 Genesee St Ste 200, Utica, NY 13501 Phone: 315-733-7598 Fax: 315-733-7694 | |
Michael S Babula, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1001 Noyes St, Utica, NY 13502 Phone: 315-624-9471 Fax: 315-922-9502 | |
Vicki A. Haines, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1656 Champlin Ave, Suite 203, Utica, NY 13502 Phone: 315-738-0647 Fax: 315-738-9719 |