Individual
KAREN THEOBALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
501 6TH AVE S, DEPT 6580070407, ST PETERSBURG, FL 33701-4634
(727) 767-4753
(727) 767-2832
Mailing address
501 6TH AVE S, DEPT 6580070407, ST PETERSBURG, FL 33701-4634
(727) 767-4753
(727) 767-2832
Taxonomy
Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
ARNP1959722
FL
Other
Enumeration date
05/13/2008
Last updated
08/26/2016
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