Individual
BRIANNA LEIGH THOMALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
4902 115TH AVE, CLEAR LAKE, MN 55319-9793
(320) 333-6109
Mailing address
4902 115TH AVE, CLEAR LAKE, MN 55319-9793
(132) 033-3610
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
8026
MN
Other
Enumeration date
04/23/2021
Last updated
04/23/2021
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