National Provider Identifier

Theresa Yvonne Dillard, RN

Theresa Yvonne Dillard, RN is listed in the NPPES registry with a primary specialty of Registered Nurse in Rochester, NY and a listed phone number of (585) 319-4256.

NPI 1053562025Rochester, NYRegistered Nurse

Profile Overview

NPI
1053562025
Provider Type
Individual
Primary Specialty
Registered Nurse
Enumeration Date
October 08, 2008
Last Updated
October 08, 2008

Practice Location

  • 302 Brooks Ave
  • Rochester, NY 14619-2431

Phone: (585) 319-4256

Specialties

  • Registered Nurse (163W00000X)
Full Record
NPI
1053562025
Entity Type
Individual
Last Name
Dillard
First Name
Theresa
Middle Name
Yvonne
Name Prefix
Mrs.
Credential
RN
Provider Other Last Name
Ddillard
Provider Other First Name
Theresa
Provider Other Middle Name
Yvonne
Provider Other Credential Text
RN
Provider Other Last Name Type Code
2
Mailing Street Address
302 Brooks Ave
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14619-2431
Mailing Country
US
Mailing Phone
(585) 319-4256
Practice Street Address
302 Brooks Ave
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14619-2431
Practice Country
US
Practice Phone
(585) 319-4256
Enumeration Date
October 08, 2008
Last Updated
October 08, 2008
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Registered Nurse (163W00000X)