Individual
MRS. NICOLE CATHERINE THIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1210 W 18TH ST STE 100, SIOUX FALLS, SD 57104-4650
(605) 312-8500
(605) 312-8501
Mailing address
3816 E HUNTINGTON ST, SIOUX FALLS, SD 57103-6360
(507) 381-6325
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
SD
Other
Enumeration date
09/06/2018
Last updated
07/05/2019
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