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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

THERESA ELESIE AGWA, RN

Active Sole Proprietor

THERESA ELESIE AGWA, RN is a Registered Nurse healthcare provider located in VALLEY STREAM, New York. NPI 1144451477 is currently active in the NPPES registry. Verify at CMS.

Registered Nurse · VALLEY STREAM, NY

Registration Details

NPI Number
1144451477
Provider Type
Individual
Gender
Female
NPI Issued
Aug 4, 2009 (17.030555242693 yrs)
Last Updated
Aug 4, 2009
License
612816 (NY)
Sole Proprietor
Yes

Practice Information

Address
58 DEWITT ST
VALLEY STREAM, NY, 115801613
Browse NY providers · Browse ZIP 11580
Phone
5164486876
Primary Specialty
Registered Nurse
163W00000X

Other Registered Nurse Providers in VALLEY STREAM, NY

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.