Individual
RENEE THEISEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
900 23RD ST NW, WASHINGTON, DC 20037-2342
(202) 715-4000
(202) 715-4015
Mailing address
3551 39TH ST NW, APT 516F, WASHINGTON, DC 20016-3074
(703) 586-3484
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
0024167985
VA
363LF0000X
Family Nurse Practitioner
Primary
RN1002854
DC
Other
Enumeration date
10/29/2008
Last updated
12/21/2022
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