GINA BERTINI THEISEN

WENTZVILLE, MO
NPI1235640582
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MO  2020031798)
Additional Taxonomies363LF0000X Nurse Practitioner, Family
(Licence: CO  APN.0993335-NP)
Enumeration Date2017-10-13
Last Update Date2020-11-24
Business Address
GINA BERTINI THEISEN FNP-C
1603 WENTZVILLE PKWY
WENTZVILLE, MO 63385-3826
Phone number: 636-332-8228
Mailing Address
GINA BERTINI THEISEN FNP-C
PO BOX 955534
SAINT LOUIS, MO 63195-5534
Phone number: