Most Relevant Information
Provider Data
| NPI Number: | 1003495953 |
| Provider Name: | THERESA LANGWORTHY RN |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | 753492 |
Most Important Dates
| Enumeration Date: | 04/07/2021 |
| Last Updated: | 04/07/2021 |
Provider Practice Location
200 DUNHAM AVE
JAMESTOWN
NY
147012528
Practice Location Phone/Fax
| Phone: | 7166611400 |
| Fax: |
Provider Mailing Location
200 DUNHAM AVE
JAMESTOWN
NY
147012528
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |