Mccormack, Theresa

Mccormack, Theresa is an individual health care provider with primary practice located at 2035 Waterside Rd Suite 105, Prince George VA 23875-1265. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Mccormack, Theresa can be contacted via phone (804) 520-0002.

Contact Information

Primary practice address
2035 Waterside Rd Suite 105 Prince George VA 23875-1265
Phone: (804) 520-0002
Fax: (804) 520-2259
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 0024165150 Virginia

Profile Details

NPI number 1447611868
LBN Legal business name Mccormack, Theresa
Credentials Pediatric Nurse Practitioner (PNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 12th, 2016
Last updated Mar 12th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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