Individual
AMY ELIZABETH THEESEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
800 N ALPHA ST, GRAND ISLAND, NE 68803-4320
(308) 382-2010
(308) 382-9549
Mailing address
800 N ALPHA ST, GRAND ISLAND, NE 68803-4320
(308) 382-2010
(308) 382-9549
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
111250
NE
363LF0000X
Family Nurse Practitioner
111250
NE
Other
Enumeration date
04/27/2011
Last updated
07/06/2020
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