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.

NPI 1689954091Rochester, NYAdult Health Nurse Practitioner

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)

Endpoints

  • tvineyard28760@direct.urmc.rochester.edu

    Direct Messaging Address | Direct | Other | Rochester, NY 14642

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
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Adult Health Nurse Practitioner (363LA2200X), Acute Care Nurse Practitioner (363LA2100X)