Provider Demographics
NPI:1376606509
Name:RYMER, THERESE ELIZABETH (NP)
Entity Type:Individual
Prefix:MRS
First Name:THERESE
Middle Name:ELIZABETH
Last Name:RYMER
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:THERESE
Other - Middle Name:ELIZABETH
Other - Last Name:GMEINER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:5922 LOMOND DR
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92120-4541
Mailing Address - Country:US
Mailing Address - Phone:619-583-1762
Mailing Address - Fax:619-543-6325
Practice Address - Street 1:200 W ARBOR DR
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92103-9001
Practice Address - Country:US
Practice Address - Phone:619-543-3678
Practice Address - Fax:619-543-6325
Is Sole Proprietor?:No
Enumeration Date:2006-12-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA200534163WX0106X
CA1713363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered163WX0106XNursing Service ProvidersRegistered NurseOccupational Health
Not Answered363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily