Individual
MRS. BRIANNA LEIGH THEISEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2101 ELM ST N, FARGO, ND 58102-2417
(701) 232-3241
Mailing address
2101 ELM ST N, FARGO, ND 58102-2417
(701) 893-6816
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R36436
ND
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
201935
ND
Other
Enumeration date
12/24/2024
Last updated
02/27/2025
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