MRS. Tina N Theobald, ARNP

NPI #1710310768 in Plant City, Florida

Provider Information

NPI Number
1710310768
Entity Type
Individual
Name
MRS. Tina N Theobald, ARNP
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Nurse Practitioner
Credential
ARNP
Enumeration Date
Aug 14, 2013
Last Updated
Nov 14, 2013

Practice Location

Address
3302 W BAKER ST
State
Florida
ZIP Code
33563-2851
Phone
(813) 752-1336

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner

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