Individual
KAREY S THIEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
825 E 8TH ST, WINNER, SD 57580-2688
(605) 842-2626
(605) 842-3557
Mailing address
825 E 8TH ST, WINNER, SD 57580-2688
(605) 842-2626
(605) 842-3557
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0238
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0851370001
DME
—
05
—
6822690
—
SD
Enumeration date
10/18/2006
Last updated
10/25/2011
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