Thielke, Lisa Renee

Thielke, Lisa Renee is an individual health care provider with primary practice located at 1708 1St St S , Willmar MN 56201-4228. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Thielke, Lisa Renee can be contacted via phone (218) 999-7750.

Contact Information

Primary practice address
1708 1St St S Willmar MN 56201-4228
Phone: (218) 999-7750
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 10088 Minnesota

Profile Details

NPI number 1699461095
LBN Legal business name Thielke, Lisa Renee
Credentials APRN, CNP, PMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 18th, 2023
Last updated Apr 20th, 2023 - about 3 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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