National Provider Identifier
Theresa Anne McDonough, NURSE PRACTITIONER
Theresa Anne McDonough, NURSE PRACTITIONER is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner in Williamsville, NY and a listed phone number of (716) 568-6221.
Profile Overview
- NPI
- 1720385891
- Provider Type
- Individual
- Primary Specialty
- Family Nurse Practitioner
- Enumeration Date
- February 24, 2011
- Last Updated
- February 24, 2011
Practice Location
- 1540 Maple RD
- Williamsville, NY 14221-3647
Phone: (716) 568-6221
Specialties
- Family Nurse Practitioner (363LF0000X)
Full Record
- NPI
- 1720385891
- Entity Type
- Individual
- Last Name
- McDonough
- First Name
- Theresa
- Middle Name
- Anne
- Name Prefix
- Mrs.
- Credential
- NURSE PRACTITIONER
- Mailing Street Address
- 1540 Maple RD
- Mailing City
- Williamsville
- Mailing State
- NY
- Mailing ZIP Code
- 14221-3647
- Mailing Country
- US
- Practice Street Address
- 1540 Maple RD
- Practice City
- Williamsville
- Practice State
- NY
- Practice ZIP Code
- 14221-3647
- Practice Country
- US
- Practice Phone
- (716) 568-6221
- Enumeration Date
- February 24, 2011
- Last Updated
- February 24, 2011
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Family Nurse Practitioner (363LF0000X)