National Provider Identifier
Theresa Mary McKenna
Theresa Mary McKenna is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Rochester, NY and a listed phone number of (585) 489-2874.
Profile Overview
- NPI
- 1366730269
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- July 13, 2011
- Last Updated
- July 13, 2011
Practice Location
- 273 Navarre RD
- Rochester, NY 14621-1041
Phone: (585) 489-2874
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1366730269
- Entity Type
- Individual
- Last Name
- McKenna
- First Name
- Theresa
- Middle Name
- Mary
- Provider Other Last Name
- Hayden
- Provider Other First Name
- Theresa
- Provider Other Middle Name
- Mary
- Provider Other Credential Text
- LPN
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 273 Navarre RD
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14621-1041
- Mailing Country
- US
- Mailing Phone
- (585) 489-2874
- Practice Street Address
- 273 Navarre RD
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14621-1041
- Practice Country
- US
- Practice Phone
- (585) 489-2874
- Enumeration Date
- July 13, 2011
- Last Updated
- July 13, 2011
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)