| NPI | 1124692553 |
|---|---|
| Former Name | KATHLEEN MEREDITH THEDENS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: MN 12901) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN 2536446) |
| 163W00000X Registered Nurse (Licence: IA 132004) | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: IA G163773) | |
| Enumeration Date | 2021-05-19 |
| Last Update Date | 2025-06-18 |