Doctor Name: | MS. TERESA KIM HENWOOD |
NPI Number: | 1326394206 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | BSN, RN |
License Number: | 424762-1 |
Business Practice Address: | 112 Overlook Dr Baldwinsville, NY - 130279111 |
Business Phone Number: | 3156350923 |
Business Fax Number: | |
Mailing Address: | 112 Overlook Dr, BALDWINSVILLE |
State: | NY |
Postal Code: | 130279111 |
Phone Number: | 3156350923 |
Fax Number: | |
NPI Enumeration Date: | 07/30/2012 |
NPI Last Update Date: | 07/30/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WC0200X |
License Number: | 424762-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Critical Care Medicine |
Taxonomy Definition: |