Individual
ANDREA THIEDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2213 CHERRY ST, TOLEDO, OH 43608-2603
(192) 518-0194
Mailing address
2200 JEFFERSON AVE FL 5, TOLEDO, OH 43604-7102
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APRN.CNP.026076
OH
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.026076
OH
Other
Enumeration date
12/17/2019
Last updated
10/12/2024
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