Amy Patricia Theall, PMHNP-BC

NPI #1912461088 in Lakeview, Oregon

Provider Information

NPI Number
1912461088
Entity Type
Individual
Name
Amy Patricia Theall, PMHNP-BC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner - Psychiatric/Mental Health
Credential
PMHNP-BC
Enumeration Date
Jan 23, 2019
Last Updated
Jun 21, 2021

Practice Location

Address
700 S J ST
State
Oregon
ZIP Code
97630-1623
Phone
(541) 947-2114

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - Psychiatric/Mental HealthPsychiatric/Mental Health

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