Individual
DAWN D THEILEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1000 4TH ST SW, MASON CITY, IA 50401-2800
(641) 428-6300
(641) 428-6374
Mailing address
621 S ILLINOIS AVE STE 103, MASON CITY, IA 50401-5489
(641) 428-3041
(641) 428-3059
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F089892
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0057026
—
IA
Enumeration date
04/21/2006
Last updated
07/21/2022
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