Theisen, Gina Bertini

Theisen, Gina Bertini is an individual health care provider with primary practice located at 1603 Wentzville Pkwy , Wentzville MO 63385-3826. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Theisen, Gina Bertini can be contacted via phone (636) 332-8228.

Contact Information

Primary practice address
1603 Wentzville Pkwy Wentzville MO 63385-3826
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APN.0993335-NP Colorado
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 2020031798 Missouri

Profile Details

NPI number 1235640582
LBN Legal business name Theisen, Gina Bertini
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2017
Last updated Nov 24th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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