National Provider Identifier

Theresa Versage

Theresa Versage is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Batavia, NY and a listed phone number of (585) 345-0602.

NPI 1386967677Batavia, NYLicensed Practical Nurse

Profile Overview

NPI
1386967677
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
March 01, 2010
Last Updated
March 01, 2010

Practice Location

  • 41 Ellicott Ave
  • Batavia, NY 14020-2030

Phone: (585) 345-0602

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1386967677
Entity Type
Individual
Last Name
Versage
First Name
Theresa
Mailing Street Address
41 Ellicott Ave
Mailing City
Batavia
Mailing State
NY
Mailing ZIP Code
14020-2030
Mailing Country
US
Mailing Phone
(585) 345-0602
Practice Street Address
41 Ellicott Ave
Practice City
Batavia
Practice State
NY
Practice ZIP Code
14020-2030
Practice Country
US
Practice Phone
(585) 345-0602
Enumeration Date
March 01, 2010
Last Updated
March 01, 2010
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)