Individual
AIMEE THEELEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN, RN
Contact information
Practice address
179 PARKSIDE DRIVE, COLORADO SPRINGS, CO 80910
(719) 572-6300
(719) 572-6080
Mailing address
220 RUSKIN DR, COLORADO SPRINGS, CO 80910
(719) 572-6100
(719) 527-6080
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
105405
CO
163WP0808X
Psychiatric/Mental Health Registered Nurse
105405
CO
Other
Enumeration date
01/05/2007
Last updated
09/14/2010
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