person
Debra J Thill, CPNP
Pediatric Nurse Practitioner in St Cloud, Minnesota
NPI 1407847551

Debra J Thill is a Pediatric Nurse Practitioner based in St Cloud, MN and is specialized in Pediatrics. Debra J Thill practices in St Cloud, MN and has the professional credentials of CPNP. The NPI Number for Debra J Thill is 1407847551 and holds a License No. R-095701-4 (Minnesota).

The current practice location address for Debra J Thill is 1900 Centra Care Cir #1300, St Cloud, MN and can be reached out via phone at 320-654-3610 and via fax at 320-654-3657.

Location: 1900 Centra Care Cir #1300, St Cloud, MN, 56303-5000
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Provider Profile Details
NPI Number
1407847551
Provider Name
Debra J Thill
Credential
CPNP
Provider Entity Type
Individual
Gender
Female
Address
1900 Centra Care Cir #1300, St Cloud, MN, 56303-5000
Phone Number
320-654-3610
Fax Number
320-654-3657
Provider Enumeration Date
10/28/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
136613100 01 MEDICAL ASSISTANCE
06-28-04 01 CHAMPUS
267L3BE 01 BLUE CROSS BLUE SHIELD
HP31039 01 HEALTH PARTNERS
2172435 01 ARAZ GROUP AMERICAS PPO
7-22-04 01 MMSI
1025652 01 PREFERRED ONE
6-28-04 01 ONEHEALTH PLAN/GREAT WEST
1202912 01 MEDICA HEALTH PLANS
151365 01 U-CARE
6-28-04 01 FIRST HEALTH PLAN
institution
Provider Business Practice Location Address Details
Address
1900 Centra Care Cir #1300
City
State
Zip
56303-5000
Phone Number
320-654-3610
Fax Number
320-654-3657
person
Provider Business Mailing Address Details
Address
1900 Centra Care Cir #1300
City
State
Zip
56303-5000
Phone Number
320-654-3610
Fax Number
320-654-3657
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
R-095701-4 (Minnesota)
Definition
Definition to come...
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