Individual
ADRIENNE RAE THAYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN, PHN
Contact information
Practice address
555 CEDAR ST, SAINT PAUL, MN 55101-2209
(651) 266-1343
(651) 266-1384
Mailing address
555 CEDAR ST, SAINT PAUL, MN 55101-2209
(651) 266-1343
(651) 266-1384
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
R190886-8
MN
Other
Enumeration date
03/08/2018
Last updated
03/08/2018
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