person
Blair A Theis
Pediatric Nurse Practitioner in Festus, Missouri
NPI 1013568120

Blair A Theis is a Pediatric Nurse Practitioner based in Festus, MO and is specialized in Pediatrics. Blair A Theis practices in Festus, MO. The NPI Number for Blair A Theis is 1013568120 and holds a License No. 2013035893 (Missouri).

The current practice location address for Blair A Theis is 35 Goodwin Dr, Festus, MO and can be reached out via phone at 636-933-4141 and via fax at 636-931-7007.

Location: 35 Goodwin Dr, Festus, MO, 63028-4122
person
Provider Profile Details
NPI Number
1013568120
Provider Name
Blair A Theis
Credential
Provider Entity Type
Individual
Gender
Female
Address
35 Goodwin Dr, Festus, MO, 63028-4122
Phone Number
636-933-4141
Fax Number
636-931-7007
Provider Enumeration Date
09/20/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
35 Goodwin Dr
City
State
Zip
63028-4122
Phone Number
636-933-4141
Fax Number
636-931-7007
person
Provider Business Mailing Address Details
Address
35 Goodwin Dr
City
State
Zip
63028-4122
Phone Number
636-933-4141
Fax Number
636-931-7007
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
2013035893 (Missouri)
Definition
Definition to come...
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