Provider Demographics
NPI:1700287224
Name:PARKHURST, THERESA ANN (PMHNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:THERESA
Middle Name:ANN
Last Name:PARKHURST
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15953 PICKERING DR
Mailing Address - Street 2:
Mailing Address - City:MILTON
Mailing Address - State:DE
Mailing Address - Zip Code:19968-3665
Mailing Address - Country:US
Mailing Address - Phone:302-249-0322
Mailing Address - Fax:302-652-8297
Practice Address - Street 1:15953 PICKERING DR
Practice Address - Street 2:
Practice Address - City:MILTON
Practice Address - State:DE
Practice Address - Zip Code:19968-3665
Practice Address - Country:US
Practice Address - Phone:302-249-0322
Practice Address - Fax:605-600-3773
Is Sole Proprietor?:No
Enumeration Date:2014-09-16
Last Update Date:2024-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEL8-0000128363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health