Theda Burrell
NPI #1922680958 in Whitestone, New York
Provider Information
- NPI Number
- 1922680958
- Entity Type
- Individual
- Name
- Theda Burrell
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Registered Nurse
- Enumeration Date
- Apr 28, 2021
- Last Updated
- Apr 28, 2021
Practice Location
- Address
- 157-15 19TH AVE
- City
- Whitestone
- State
- New York
- ZIP Code
- 11357
- Phone
- (718) 746-0400
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse |
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