Individual
THERESA M CIESLINSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PFMHNP
Contact information
Practice address
24 JOLIET ST, DYER, IN 46311-1705
(219) 322-5747
(219) 864-2282
Mailing address
1040 SIERRA DR, SUITE 400, GREENWOOD, IN 46143-7240
(317) 528-4886
(317) 859-8239
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28205748A
IN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
71004267A
IN
Other
Enumeration date
01/15/2013
Last updated
03/07/2023
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