Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARY ELSA THEOBALD, NP
ActiveMARY ELSA THEOBALD, NP is a Nurse Practitioner healthcare provider located in BROOKS, Maine. NPI 1356418685 is currently active in the NPPES registry. Verify at CMS.
Nurse Practitioner · BROOKS, ME
Registration Details
- NPI Number
- 1356418685
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 30, 2006 (19.680351424501 yrs)
- Last Updated
- Jul 8, 2007
- License
-
R030807 (ME)
Practice Information
- Address
-
55 REYNOLDS ROADBROOKS, ME, 04915Browse ME providers · Browse ZIP 04915
- Phone
- 2077223488
- Fax
- 2077223183
- Primary Specialty
-
Nurse Practitioner
363L00000X
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.