Individual
CASSIE THIESSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1234 NAPIER AVE, SAINT JOSEPH, MI 49085-2112
(269) 983-3455
Mailing address
1234 NAPIER AVE, SAINT JOSEPH, MI 49085-2112
(269) 983-3455
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704326088
MI
363L00000X
Nurse Practitioner
Primary
4704326088
MI
363LF0000X
Family Nurse Practitioner
F10221415
MI
Other
Enumeration date
01/22/2022
Last updated
01/24/2025
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