National Provider Identifier
Theodore R Nadelen III, MS, RN, FNP
Theodore R Nadelen III, MS, RN, FNP is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner in Lyndonville, NY and a listed phone number of (585) 765-2060.
Profile Overview
- NPI
- 1144391962
- Provider Type
- Individual
- Primary Specialty
- Family Nurse Practitioner
- Enumeration Date
- November 13, 2006
- Last Updated
- February 26, 2013
Practice Location
- 77 S Main St
- Lyndonville, NY 14098-9771
Phone: (585) 765-2060
Mailing Address
- 300 West Ave
- Brockport, NY 14420-1118
Specialties
- Family Nurse Practitioner (363LF0000X)
Full Record
- NPI
- 1144391962
- Entity Type
- Individual
- Last Name
- Nadelen
- First Name
- Theodore
- Middle Name
- R
- Name Prefix
- Mr.
- Name Suffix
- III
- Credential
- MS, RN, FNP
- Mailing Street Address
- 300 West Ave
- Mailing City
- Brockport
- Mailing State
- NY
- Mailing ZIP Code
- 14420-1118
- Mailing Country
- US
- Practice Street Address
- 77 S Main St
- Practice City
- Lyndonville
- Practice State
- NY
- Practice ZIP Code
- 14098-9771
- Practice Country
- US
- Practice Phone
- (585) 765-2060
- Practice Fax
- (585) 765-2067
- Enumeration Date
- November 13, 2006
- Last Updated
- February 26, 2013
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Family Nurse Practitioner (363LF0000X)