National Provider Identifier

Theresa M Pequeen, FNP

Theresa M Pequeen, FNP is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner in Delevan, NY and a listed phone number of (716) 707-7040.

NPI 1720328412Delevan, NYFamily Nurse Practitioner

Profile Overview

NPI
1720328412
Provider Type
Individual
Primary Specialty
Family Nurse Practitioner
Enumeration Date
February 18, 2013
Last Updated
February 18, 2013

Practice Location

  • 38 N Main St
  • Delevan, NY 14042-9501

Phone: (716) 707-7040

Specialties

  • Family Nurse Practitioner (363LF0000X)
Full Record
NPI
1720328412
Entity Type
Individual
Last Name
Pequeen
First Name
Theresa
Middle Name
M
Name Prefix
Miss
Credential
FNP
Mailing Street Address
38 N Main St
Mailing City
Delevan
Mailing State
NY
Mailing ZIP Code
14042-9501
Mailing Country
US
Mailing Phone
(716) 707-7040
Practice Street Address
38 N Main St
Practice City
Delevan
Practice State
NY
Practice ZIP Code
14042-9501
Practice Country
US
Practice Phone
(716) 707-7040
Enumeration Date
February 18, 2013
Last Updated
February 18, 2013
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Family Nurse Practitioner (363LF0000X)