Individual
BETH THEIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
415 3RD ST, CALIFORNIA, PA 15419-1102
(724) 938-7466
(724) 938-7470
Mailing address
415 3RD ST, CALIFORNIA, PA 15419-1102
(724) 938-7466
(724) 938-7470
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP009512
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SP009512
LICENSE
PA
Enumeration date
11/15/2007
Last updated
01/16/2014
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