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Ms. Darcy Theisen, NURSEPRACTITIONER
Family Nurse Practitioner in St Louis Park, Minnesota
NPI 1477504116

Darcy Theisen is a Family Nurse Practitioner based in St Louis Park, MN and is specialized in Family. Darcy Theisen practices in St Louis Park, MN and has the professional credentials of NURSEPRACTITIONER. The NPI Number for Darcy Theisen is 1477504116 and holds a License No. R1433265 (Minnesota).

The current practice location address for Darcy Theisen is 6500 Excelsior Blvd, St Louis Park, MN and can be reached out via phone at 952-993-3246.

Location: 6500 Excelsior Blvd, St Louis Park, MN, 55426-4702
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1477504116
Provider Name
Darcy Theisen
Credential
NURSEPRACTITIONER
Provider Entity Type
Individual
Gender
Female
Address
6500 Excelsior Blvd, St Louis Park, MN, 55426-4702
Phone Number
952-993-3246
Fax Number
Provider Enumeration Date
05/15/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
302795300 05 MN
institution
Provider Business Practice Location Address Details
Address
6500 Excelsior Blvd
City
St Louis Park
State
Minnesota
Zip
55426-4702
Phone Number
952-993-3246
Fax Number
person
Provider Business Mailing Address Details
Address
6500 Excelsior Blvd
City
St Louis Park
State
Minnesota
Zip
55426-4702
Phone Number
952-993-3246
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
363LA2200X
License No.
R143326-5 (Minnesota)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
R1433265 (Minnesota)
Definition
Definition to come...
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