Provider Demographics
NPI:1720094907
Name:MCDONNELL, THERESA MARGARET (APRN, BC)
Entity Type:Individual
Prefix:MRS
First Name:THERESA
Middle Name:MARGARET
Last Name:MCDONNELL
Suffix:
Gender:F
Credentials:APRN, BC
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:40 DUKE MEDICINE CIR STE 1117
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27710-5095
Mailing Address - Country:US
Mailing Address - Phone:919-681-2345
Mailing Address - Fax:196-848-5289
Practice Address - Street 1:40 DUKE MEDICINE CIR STE 1117
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27710-5095
Practice Address - Country:US
Practice Address - Phone:919-681-2345
Practice Address - Fax:919-684-8528
Is Sole Proprietor?:No
Enumeration Date:2006-07-31
Last Update Date:2024-05-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WAMD60683790363LA2100X
NC5019732363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care