Carlson, Thia Marie

Carlson, Thia Marie is an individual health care provider with primary practice located at 320 E Main St , Crosby MN 56441-1645. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Carlson, Thia Marie can be contacted via phone (218) 546-7000.

Contact Information

Primary practice address
320 E Main St Crosby MN 56441-1645
Phone: (218) 546-7000
Fax: (218) 545-4456
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X R1675405 Minnesota

Profile Details

NPI number 1588091862
LBN Legal business name Carlson, Thia Marie
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2013
Last updated Dec 4th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588091862 NPPES
Minnesota Other R1675405 MINNESOTA BOARD OF NURSING

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