Provider Demographics
NPI:1114142338
Name:MCGREEVY, THERESA MARIE (RN, MSN, APN)
Entity Type:Individual
Prefix:
First Name:THERESA
Middle Name:MARIE
Last Name:MCGREEVY
Suffix:
Gender:F
Credentials:RN, MSN, APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:289 E FLAGSTONE DR
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19702-3645
Mailing Address - Country:US
Mailing Address - Phone:302-286-0928
Mailing Address - Fax:
Practice Address - Street 1:CHRISTIANA CARE HEALTH SERVICES
Practice Address - Street 2:4775 OGLETOWN-STANTON RD
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19718-0001
Practice Address - Country:US
Practice Address - Phone:302-733-4387
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DELM-0000111363LN0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LN0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal