Individual
ERICA THEIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
2701 17TH ST, ROCK ISLAND, IL 61201-5351
(309) 779-5062
(309) 779-5064
Mailing address
2701 17TH ST, ROCK ISLAND, IL 61201-5351
(309) 779-5062
(309) 779-5064
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
209014797
IL
Other
Enumeration date
09/06/2016
Last updated
09/06/2016
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