Individual
MARI KATHERINE THIEDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, BSN, RN
Contact information
Practice address
1488 WHITE SANDS RD, GREENEVILLE, TN 37743-5300
(734) 740-2640
Mailing address
1488 WHITE SANDS RD, GREENEVILLE, TN 37743-5300
(734) 740-2640
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704315444
MI
Other
Enumeration date
08/04/2023
Last updated
08/04/2023
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