MRS. Theresa Mccormack, PNP
NPI #1447611868 in Prince George, Virginia
Provider Information
- NPI Number
- 1447611868
- Entity Type
- Individual
- Name
- MRS. Theresa Mccormack, PNP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Pediatrics
- Credential
- PNP
- Enumeration Date
- Mar 12, 2016
- Last Updated
- Mar 12, 2016
Practice Location
- Address
- 2035 WATERSIDE RD
- Address 2
- SUITE 105
- City
- Prince George
- State
- Virginia
- ZIP Code
- 23875-1265
- Phone
- (804) 520-0002
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Pediatrics — Pediatrics |
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