Individual
PATRICIA L THIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
1919 E THOMAS RD, PHOENIX, AZ 85016-7710
(602) 933-0016
(602) 933-4318
Mailing address
2108 E THOMAS RD STE 130, PHOENIX, AZ 85016-7761
(602) 933-3124
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
277011
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0247858
—
OH
Enumeration date
10/17/2017
Last updated
08/30/2022
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