National Provider Identifier
Theresa Louise Fish, LPN
Theresa Louise Fish, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Savona, NY and a listed phone number of (607) 583-4101.
Profile Overview
- NPI
- 1548598543
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- December 02, 2009
- Last Updated
- December 02, 2009
Practice Location
- 6580 Round Lake RD
- Savona, NY 14879-9717
Phone: (607) 583-4101
Specialties
- Licensed Practical Nurse (164W00000X)
- Day Training/Habilitation Specialist (373H00000X)
Full Record
- NPI
- 1548598543
- Entity Type
- Individual
- Last Name
- Fish
- First Name
- Theresa
- Middle Name
- Louise
- Name Prefix
- Mrs.
- Credential
- LPN
- Provider Other Last Name
- Allan
- Provider Other First Name
- Theresa
- Provider Other Middle Name
- Louise
- Provider Other Name Prefix Text
- Mrs.
- Provider Other Credential Text
- LPN
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 6580 Round Lake RD
- Mailing City
- Savona
- Mailing State
- NY
- Mailing ZIP Code
- 14879-9717
- Mailing Country
- US
- Mailing Phone
- (607) 583-4101
- Practice Street Address
- 6580 Round Lake RD
- Practice City
- Savona
- Practice State
- NY
- Practice ZIP Code
- 14879-9717
- Practice Country
- US
- Practice Phone
- (607) 583-4101
- Enumeration Date
- December 02, 2009
- Last Updated
- December 02, 2009
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X), Day Training/Habilitation Specialist (373H00000X)