National Provider Identifier

Theresa Anne Baldassare, LPN

Theresa Anne Baldassare, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Honeoye Falls, NY and a listed phone number of (585) 624-1107.

NPI 1760556120Honeoye Falls, NYLicensed Practical Nurse

Profile Overview

NPI
1760556120
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
November 20, 2006
Last Updated
July 09, 2007

Practice Location

  • 50 Village Trl
  • Honeoye Falls, NY 14472-1036

Phone: (585) 624-1107

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1760556120
Entity Type
Individual
Last Name
Baldassare
First Name
Theresa
Middle Name
Anne
Name Prefix
Mrs.
Credential
LPN
Mailing Street Address
50 Village Trl
Mailing City
Honeoye Falls
Mailing State
NY
Mailing ZIP Code
14472-1036
Mailing Country
US
Mailing Phone
(585) 624-1107
Practice Street Address
50 Village Trl
Practice City
Honeoye Falls
Practice State
NY
Practice ZIP Code
14472-1036
Practice Country
US
Practice Phone
(585) 624-1107
Enumeration Date
November 20, 2006
Last Updated
July 09, 2007
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)
Other Identifiers
01986534 (NY)