Korena Marie Katherine Kemerling-Theobald
Nurse Practitioner - Neonatal (Critical Care)
2450 Riverside Ave
Minneapolis
, Minnesota 55454-1450
Korena Marie Katherine Kemerling-Theobald
Nurse Practitioner - Neonatal (Critical Care)
2450 Riverside Ave
Minneapolis
, Minnesota 55454-1450
(608) 386-8463
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About
Features
Specialties
- Nurse Practitioner - Neonatal (Critical Care)
Languages spoken
- English
Location
First Address
- Korena Marie Katherine Kemerling-Theobald
- E9674 County Road Ss
- Viroqua, WI
- Zip : 54665-7155
- Phone : (608) 386-8463
Second Address
- Korena Marie Katherine Kemerling-Theobald
- 2450 Riverside Ave
- Minneapolis, MN
- Zip : 55454-1450
- Phone : (612) 365-6777
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FAQs
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Does Korena Marie Katherine Kemerling-Theobald have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | 11387 | WI |
| N | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | 6956 | MN |
National Provider Identifier
| NPI | 1063069284 |
|---|---|
| Provider Name | Korena Marie Katherine Kemerling-Theobald |
| First Address | Viroqua, WI 54665-7155 |
| Second Address | Minneapolis, MN 55454-1450 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/08/2019 |
| Last Update Date | 17/11/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.