Individual
THERESA THEISEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
9201 E MOUNTAIN VIEW RD, SUITE 220, SCOTTSDALE, AZ 85258-5199
(480) 862-1700
Mailing address
9201 E MOUNTAIN VIEW RD, SUITE 220, SCOTTSDALE, AZ 85258-5199
(480) 862-1700
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN055899
AZ
Other
Enumeration date
10/13/2016
Last updated
10/13/2016
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