Individual
DAKOTA THIELE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
101 SIVLEY RD SW, HUNTSVILLE, AL 35801-4470
(256) 265-3390
Mailing address
101 WESTMINSTER WAY, MADISON, AL 35758-2706
(256) 601-0948
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
1-140421
AL
363LF0000X
Family Nurse Practitioner
Primary
1-140421
AL
Other
Enumeration date
12/29/2022
Last updated
10/16/2023
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