Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Theda Burrell

Individual provider Registered Nurse · NPI 1922680958

Theda Burrell is a Registered Nurse in Whitestone, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2021
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Practice location Address checks out

157-15 19th Ave
Whitestone, NY 11357
Phone: (718) 746-0400
Fax: (718) 559-0587
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 469042 (NY)

Record details

NPI number1922680958
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 28, 2021
Last updated in NPPESApril 28, 2021
Certification dateApril 28, 2021
Mailing address157-15 19th Ave, Whitestone, NY 11357

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