IndividualActive
Theresa Ekenedo, NP
NPI 1164096319 · Medical-Surgical Registered Nurse · Charlotte, NC
Provider details
- NPI number
- 1164096319
- Entity type
- Individual
- Primary specialty
- Medical-Surgical Registered NurseNursing Service Providers
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- License
- 259365 (SC)
Mailing address
713 Woburn Abbey Dr
Fort Mill, SC 29715-6930
Registry dates
- Enumerated
- 2021-05-13
- Last updated
- 2026-03-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.