Individual
MARY ALICE THIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
26110 EMERY RD STE 300, WARRENSVILLE HEIGHTS, OH 44128-5788
(440) 368-6868
Mailing address
3544 PEBBLE CREEK CT, MASON, OH 45040-2058
(513) 313-8695
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN.CNP.08370
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0092977
—
OH
Enumeration date
03/01/2007
Last updated
02/20/2024
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