Nielsen, Theresa F

Nielsen, Theresa F is an individual health care provider with primary practice located at 2960 Tongass Ave , Ketchikan AK 99901-5742. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Nielsen, Theresa F can be contacted via phone (907) 228-4900.

Contact Information

Primary practice address
2960 Tongass Ave Ketchikan AK 99901-5742
Phone: (907) 228-4900
Fax: (800) 852-3264
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP128179 Texas
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 6696 Connecticut

Profile Details

NPI number 1851462717
LBN Legal business name Nielsen, Theresa F
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 13th, 2006
Last updated Sep 6th, 2016 - about 8 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 1851462717 NPPES
Virginia MEDICAID 1851462717

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