Dedra Lee Theisen, RN

NPI #1154627297 in Princeton, Minnesota

Provider Information

NPI Number
1154627297
Entity Type
Individual
Name
Dedra Lee Theisen, RN
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Registered Nurse
Credential
RN
Enumeration Date
Feb 8, 2011
Last Updated
Feb 8, 2011

Practice Location

Address
14315 305TH AVE NW
ZIP Code
55371-3648
Phone
(612) 987-0234

Specialties & Taxonomy Codes

Specialty
Registered Nurse

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