DAKOTA THIELE

HUNTSVILLE, AL
NPI1760195358
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: AL  1-140421)
Additional Taxonomies363L00000X Nurse Practitioner
(Licence: AL  1-140421)
Enumeration Date2022-12-29
Last Update Date2023-10-16
Business Address
DAKOTA THIELE
101 SIVLEY RD SW
HUNTSVILLE, AL 35801-4470
Phone number: 256-265-3390
Mailing Address
DAKOTA THIELE
101 WESTMINSTER WAY
MADISON, AL 35758-2706
Phone number: 256-601-0948