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Individual

MS. LAURA J THIEM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, FNP-BC, CNS-BC

Contact information

Practice address
57 EAST MAIN, ADRIAN, MO 64720
(816) 297-8700
Mailing address
PO BOX 7, ADRIAN, MO 64720-0007

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
138659
MO
363LF0000X
Family Nurse Practitioner
44662
KS
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
138659
MO

Other

Enumeration date
06/13/2005
Last updated
01/08/2008
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