Organization
ADRIAN CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LAURA THIEM FNP-BC (OWNER)
(816) 297-8700
Entity
Organization
Contact information
Practice address
57 EAST MAIN STREET, ADRIAN, MO 64720
(816) 297-8700
(816) 297-8717
Mailing address
PO BOX 7, ADRIAN, MO 64720-0007
(816) 297-8700
(816) 297-8717
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
MO
363LF0000X
Family Nurse Practitioner
138659
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
501403307
—
MO
Enumeration date
07/17/2006
Last updated
06/25/2008
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