LACIE MICHELLE THEIS

WAVERLY, IA
NPI1871105916
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: IA  G159694)
Enumeration Date2020-08-19
Last Update Date2020-08-19
Business Address
LACIE MICHELLE THEIS ARNP, PMHNP-BC
111 10TH ST SW
WAVERLY, IA 50677-2925
Phone number: 319-352-2329
Mailing Address
LACIE MICHELLE THEIS ARNP, PMHNP-BC
814 EASTON AVE
WATERLOO, IA 50702-3916
Phone number: 319-961-0696
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