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Breanna Thiel
Student in an Organized Health Care Education/Training Program in Davenport, Iowa
NPI 1962138529

Breanna Thiel is a Student in an Organized Health Care Education/Training Program based in Davenport, IA. Breanna Thiel practices in Davenport, IA. The NPI Number for Breanna Thiel is 1962138529 and holds a License No. (Iowa).

The current practice location address for Breanna Thiel is 1320 W Lombard St, Davenport, IA and can be reached out via phone at 563-333-5827. You can also correspond with Breanna Thiel through the mailing address at 1320 W LOMBARD ST, DAVENPORT, IA - 52804-2029 (mailing address contact number: ).

Location: 1320 W Lombard St, Davenport, IA, 52804-2029
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1962138529
Provider Name
Breanna Thiel
Credential
Provider Entity Type
Individual
Gender
Female
Address
1320 W Lombard St, Davenport, IA, 52804-2029
Phone Number
563-333-5827
Fax Number
Provider Enumeration Date
07/26/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1320 W Lombard St
City
Davenport
State
Iowa
Zip
52804-2029
Phone Number
563-333-5827
Fax Number
person
Provider Business Mailing Address Details
Address
1320 W Lombard St
City
Davenport
State
Iowa
Zip
52804-2029
Phone Number
563-333-5827
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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