Individual
SONJA THEOBALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
615 1ST AVE NE STE 310, MINNEAPOLIS, MN 55413-2419
(612) 436-0295
(612) 436-0163
Mailing address
615 1ST AVE NE STE 310, MINNEAPOLIS, MN 55413-2419
(612) 436-0295
(612) 436-0163
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
7748
MN
Other
Enumeration date
09/22/2020
Last updated
04/01/2021
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