National Provider Identifier
Theodore Howard Vineyard, NP
Theodore Howard Vineyard, NP is listed in the NPPES registry with a primary specialty of Adult Health Nurse Practitioner in Rochester, NY and a listed phone number of (585) 275-2113.
Source: public NPPES record, last updated July 06, 2023. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1689954091
- Provider Type
- Individual
- Primary Specialty
- Adult Health Nurse Practitioner
- Enumeration Date
- August 17, 2011
- Last Updated
- July 06, 2023
Practice Location
- 601 Elmwood Ave
- Box Surg 8-3600
- Rochester, NY 14642-0001
Phone: (585) 275-2113
Specialties
- Adult Health Nurse Practitioner (363LA2200X)
- Acute Care Nurse Practitioner (363LA2100X)
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Full Record
- NPI
- 1689954091
- Entity Type
- Individual
- Last Name
- Vineyard
- First Name
- Theodore
- Middle Name
- Howard
- Name Prefix
- Mr.
- Credential
- NP
- Mailing Street Address
- 601 Elmwood Ave
- Mailing Address Line 2
- Box Surg 8-3600
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14642-0001
- Mailing Country
- US
- Mailing Phone
- (585) 275-2113
- Practice Street Address
- 601 Elmwood Ave
- Practice Address Line 2
- Box Surg 8-3600
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14642-0001
- Practice Country
- US
- Practice Phone
- (585) 275-2113
- Enumeration Date
- August 17, 2011
- Last Updated
- July 06, 2023
- Sex
- Male
- Sole Proprietor
- No
- Taxonomies
- Adult Health Nurse Practitioner (363LA2200X), Acute Care Nurse Practitioner (363LA2100X)