Individual
DR. NICHOLEE RUTH THEISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1396 GRAHAM CIR, ERIE, CO 80516-3617
(720) 253-5938
Mailing address
1396 GRAHAM CIR, ERIE, CO 80516-3617
(720) 253-5938
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
46035-020
WI
207Q00000X
Family Medicine Physician
Primary
46301
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
84126531
—
CO
Enumeration date
06/09/2006
Last updated
11/22/2023
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