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Lacie Michelle Theis, ARNP,PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner in Waverly, Iowa
NPI 1871105916

Lacie Michelle Theis is a Psychiatric/Mental Health Nurse Practitioner based in Waterloo, IA and is specialized in Psychiatric/Mental Health. Lacie Michelle Theis practices in Waverly, IA and has the professional credentials of ARNP,PMHNP-BC. The NPI Number for Lacie Michelle Theis is 1871105916 and holds a License No. G159694 (Iowa).

The current practice location address for Lacie Michelle Theis is 111 10Th St Sw, Waverly, IA and can be reached out via phone at 319-352-2329.

Location: 111 10Th St Sw, Waverly, IA, 50702-3916
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871105916
Provider Name
Lacie Michelle Theis
Credential
ARNP,PMHNP-BC
Provider Entity Type
Individual
Gender
Female
Address
111 10Th St Sw, Waverly, IA, 50702-3916
Phone Number
319-352-2329
Fax Number
Provider Enumeration Date
08/19/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
111 10Th St Sw
City
Waverly
State
Iowa
Zip
50677-2925
Phone Number
319-352-2329
Fax Number
person
Provider Business Mailing Address Details
Address
111 10Th St Sw
City
Waverly
State
Iowa
Zip
50677-2925
Phone Number
319-352-2329
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
G159694 (Iowa)
Definition
Definition to come...
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