| Nicole Michelle Theodore, REGISTERED NURSE | |
|
8221 Provident Street, Philadelphia, PA 19150 | |
| (267) 338-6382 | |
| Not Available |
| Full Name | Nicole Michelle Theodore |
|---|---|
| Gender | Female |
| Speciality | Registered Nurse - Wound Care |
| Location | 8221 Provident Street, Philadelphia, Pennsylvania |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588512776 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WW0000X | Registered Nurse - Wound Care | RN615831 (Pennsylvania) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Michelle Theodore, REGISTERED NURSE 8221 Provident Street, Philadelphia, PA 19150 Ph: () - | Nicole Michelle Theodore, REGISTERED NURSE 8221 Provident Street, Philadelphia, PA 19150 Ph: (267) 338-6382 |
Ms. Peturah Ann Thompson-harris, CRNA Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 111 S 11th Street, Suite 8490, Philadelphia, PA 19107 Phone: 215-955-6161 Fax: 215-923-5507 | |
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Kate Katz, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 827 N 20th St, Philadelphia, PA 19130 Phone: 484-369-1020 | |
Kaylee Morgan Baker, CNP Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 3600 Civic Center Blvd, Philadelphia, PA 19104 Phone: 215-275-3663 | |
Nathan Edward Platt, MSN, APRN, FNP-C Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 732 S 8th St, Philadelphia, PA 19147 Phone: 215-922-4707 | |
Mrs. Leah Fesi, CRNP Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 5000 Frankford Ave, Philadelphia, PA 19124 Phone: 215-831-2218 | |
Tristan S Boyer, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1 Convention Ave, Philadelphia, PA 19104 Phone: 215-662-4000 |