Individual
GILBERTA THEONNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
845 RAILROAD ST, ELKO, NV 89801-3831
(775) 753-3770
(775) 753-3772
Mailing address
845 RAILROAD ST, ELKO, NV 89801-3831
(775) 753-3770
(775) 753-3772
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
TAPN700726
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
APN001337
STATE LICENSE
NV
Enumeration date
10/17/2011
Last updated
02/23/2012
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