DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

NICOLE THEISEN, CRNA

Active

NICOLE THEISEN, CRNA is a Certified Nurse Anesthetist (CRNA) healthcare provider located in PRIOR LAKE, Minnesota. NPI 1164854188 is currently active in the NPPES registry. Verify at CMS.

Certified Nurse Anesthetist (CRNA) · PRIOR LAKE, MN

Registration Details

NPI Number
1164854188
Provider Type
Individual
Gender
Female
NPI Issued
Aug 1, 2013 (13.003091166097 yrs)
Last Updated
Jan 29, 2018
License
R1718621 (MN)

Practice Information

Address
3199 TIMBERWOLF CIR NW
PRIOR LAKE, MN, 553723271
Browse MN providers · Browse ZIP 55372
Phone
6128606602
Primary Specialty
Certified Nurse Anesthetist (CRNA)
367500000X

Other Certified Nurse Anesthetist (CRNA) Providers in PRIOR LAKE, MN

Name Credential NPI
MR. JED W ADAMS CRNA 1164400388
LINDSAY J EK CRNA, RN, MSN, SRNA 1275331142
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.