Melissa M Theobald, FNP
NPI #1114763737 in Peoria, Illinois
Provider Information
- NPI Number
- 1114763737
- Entity Type
- Individual
- Name
- Melissa M Theobald, FNP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Credential
- FNP
- Enumeration Date
- Jul 3, 2024
- Last Updated
- Oct 23, 2024
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse |
| Nurse Practitioner - Family — Family |
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