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Individual

KATIE THIELGES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNP

Contact information

Practice address
801 BROADWAY N, FARGO, ND 58102-3641
(701) 417-2000
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
7763
MN
363L00000X
Nurse Practitioner
R41765
ND
363LF0000X
Family Nurse Practitioner
7763
MN
363LF0000X
Family Nurse Practitioner
Primary
F07201674
ND

Other

Enumeration date
09/28/2020
Last updated
05/19/2023
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