| NPI | 1508661687 |
|---|---|
| Doing Business As | ALICIA THEILEN APRN PC |
| Entity Type | Organization |
| Authorized Contact | ALICIA THEILEN President 765-421-9317 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-02-13 |
| Last Update Date | 2025-03-07 |