DARLA R THEOBALD

MANKATO, MN
NPI1043293657
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: MN  1113)
Additional Taxonomies363L00000X Nurse Practitioner
(Licence: MN  R1159484)
Enumeration Date2005-11-29
Last Update Date2020-09-18
Business Address
DARLA R THEOBALD NP
1025 MARSH ST
MANKATO, MN 56001-4752
Phone number: 507-625-4031
Mailing Address
DARLA R THEOBALD NP
1025 MARSH ST
MANKATO, MN 56001-4752
Phone number: 507-625-4031