NPI 1740544105 · live from the CMS NPI Registry
Theresa Comrie, Rn
Registered Nurse, Psych/Mental Health in Stone Mountain, GA. National Provider Identifier 1740544105, active.
NPI record
| NPI | 1740544105 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Registered Nurse, Psych/Mental Health 163WP0808X |
| Practice location | 5656 Bahia Mar Cir, Stone Mountain, GA 30087 |
| Practice phone | 770-823-2403 |
| Enumerated | June 30, 2012 |
| Last updated | June 30, 2012 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | RN091927 (GA) |
| Registered Nurse, Addiction (Substance Use Disorder) | 163WA0400X | RN091927 (GA) |
| Registered Nurse, Gerontology | 163WG0600X | RN091927 (GA) |
| Registered Nurse, Psych/Mental Health primary | 163WP0808X | RN091927 (GA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.