Provider Demographics
NPI:1801820592
Name:INERFIELD, THERESA JOAN (NURSE PRACTITIONER)
Entity Type:Individual
Prefix:MRS
First Name:THERESA
Middle Name:JOAN
Last Name:INERFIELD
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:80 AVIGNON DR
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19702-5522
Mailing Address - Country:US
Mailing Address - Phone:302-832-0308
Mailing Address - Fax:
Practice Address - Street 1:3009 PHILADELPHIA PIKE
Practice Address - Street 2:
Practice Address - City:CLAYMONT
Practice Address - State:DE
Practice Address - Zip Code:19703-2508
Practice Address - Country:US
Practice Address - Phone:302-798-8000
Practice Address - Fax:302-798-3399
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DELH0000177363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health