Individual
MARY GABRIELA THOLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN
Contact information
Practice address
4101 S 4TH ST, LEAVENWORTH, KS 66048-5014
(913) 682-2000
Mailing address
16080 SANTA FE TRL, LEAVENWORTH, KS 66048-6453
(360) 813-5355
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
140819
KS
Other
Enumeration date
10/31/2024
Last updated
10/31/2024
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