Individual
LAURA MICHELLE THIELEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1700 E 9TH AVE, WINFIELD, KS 67156-3220
(620) 221-0110
Mailing address
1700 E 9TH AVE, WINFIELD, KS 67156-3220
(620) 221-0110
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
53-79427-041
KS
Other
Enumeration date
05/28/2020
Last updated
05/28/2020
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