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

MS. THERESA MARIA DETOMASO, LPN

Active Sole Proprietor

MS. THERESA MARIA DETOMASO, LPN is a Licensed Practical Nurse healthcare provider located in FORT RECOVERY, Ohio. NPI 1164756649 is currently active in the NPPES registry. Verify at CMS.

Licensed Practical Nurse · FORT RECOVERY, OH

Registration Details

NPI Number
1164756649
Provider Type
Individual
Gender
Female
NPI Issued
Sep 30, 2009 (16.866681565449 yrs)
Last Updated
Sep 30, 2009
License
PN130615IV (OH)
Sole Proprietor
Yes

Practice Information

Address
806 BLUE JACKET DR
APT. B
FORT RECOVERY, OH, 458460645
Browse OH providers · Browse ZIP 45846
Phone
4199537730
Primary Specialty
Licensed Practical Nurse
164W00000X

Other Licensed Practical Nurse Providers in FORT RECOVERY, OH

Name Credential NPI
MS. ANGELA L NOGGLER LPN 1093985913
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.