NPI 1053814053
Shaederrica Theus
Practice location
- Address
- 8640 Cove Meadow Ln, Ft Worth, TX 76123-2330
- Phone
- (318) 762-1281
- Mailing address
- 5311 Wendel Dr, Ft Worth, TX 76133-4813
Registered specialties
Nurse's Aide
Primary
Registry record
- NPI
- 1053814053
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 15 Mar 2018
- Record last updated
- 15 Mar 2018
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.