Nicole Theisen, CRNA
NPI #1164854188 in Prior Lake, Minnesota
Provider Information
- NPI Number
- 1164854188
- Entity Type
- Individual
- Name
- Nicole Theisen, CRNA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Anesthetist, Certified Registered
- Credential
- CRNA
- Enumeration Date
- Aug 1, 2013
- Last Updated
- Jan 29, 2018
Practice Location
- Address
- 3199 TIMBERWOLF CIR NW
- City
- Prior Lake
- State
- Minnesota
- ZIP Code
- 55372-3271
- Phone
- (612) 860-6602
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Anesthetist, Certified Registered |
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