National Provider Identifier

Theodora S Paine, NP

Theodora S Paine, NP is listed in the NPPES registry with a primary specialty of Registered Nurse in Rochester, NY and a listed phone number of (585) 341-7299.

NPI 1972533529Rochester, NYRegistered Nurse

Profile Overview

NPI
1972533529
Provider Type
Individual
Primary Specialty
Registered Nurse
Enumeration Date
July 03, 2006
Last Updated
January 10, 2014

Practice Location

  • 2400 S Clinton Ave
  • Bldg H Suite 210
  • Rochester, NY 14618-2668

Phone: (585) 341-7299

Mailing Address

  • 738 Library Road
  • Box 270617
  • Rochester, NY 14627

Specialties

  • Registered Nurse (163W00000X)
  • Nurse Practitioner (363L00000X)
Full Record
NPI
1972533529
Entity Type
Individual
Last Name
Paine
First Name
Theodora
Middle Name
S
Credential
NP
Provider Other Last Name
Paine
Provider Other First Name
Theodora
Provider Other Middle Name
S
Provider Other Credential Text
RN
Provider Other Last Name Type Code
2
Mailing Street Address
738 Library Road
Mailing Address Line 2
Box 270617
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14627
Mailing Country
US
Mailing Phone
(585) 275-2662
Mailing Fax
(585) 275-2662
Practice Street Address
2400 S Clinton Ave
Practice Address Line 2
Bldg H Suite 210
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14618-2668
Practice Country
US
Practice Phone
(585) 341-7299
Practice Fax
(585) 341-4262
Enumeration Date
July 03, 2006
Last Updated
January 10, 2014
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Registered Nurse (163W00000X), Nurse Practitioner (363L00000X)