Individual
HEATHER KRISTINE THEISEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
802 CUSTER AVE, NORFOLK, NE 68701-0859
(402) 841-9088
Mailing address
84131 562 AVE, STANTON, NE 68779-2103
(402) 841-9088
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
07/10/2025
Last updated
07/10/2025
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