Individual
ALEXANDRA FAY THEIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN, FNP-C
Contact information
Practice address
1005 S US HIGHWAY 27 STE 100, SAINT JOHNS, MI 48879-2423
(989) 224-3000
Mailing address
1005 S US HIGHWAY 27 STE 100, SAINT JOHNS, MI 48879-2423
(989) 224-3000
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
4704329980
MI
363LF0000X
Family Nurse Practitioner
Primary
4704329980
MI
Other
Enumeration date
02/02/2021
Last updated
03/30/2022
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