Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LP0200X | Nurse Practitioner - Pediatrics | APRN.CNP.021587 | OH |
Y | 363LP2300X | Nurse Practitioner - Primary Care | APRN.CNP.021587 | OH |
NPI | 1043721095 |
---|---|
Provider Name | Patricia L Thiel |
First Address | Columbus, OH 43205-2664 |
Second Address | Columbus, OH 43205-2664 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/10/2017 |
Last Update Date | 05/12/2017 |