Theis, Lacie Michelle

Theis, Lacie Michelle is an individual health care provider with primary practice located at 111 10Th St Sw , Waverly IA 50677-2925. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Theis, Lacie Michelle can be contacted via phone (319) 352-2329.

Contact Information

Primary practice address
111 10Th St Sw Waverly IA 50677-2925
Phone: (319) 352-2329
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X G159694 Iowa

Profile Details

NPI number 1871105916
LBN Legal business name Theis, Lacie Michelle
Credentials ARNP, PMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2020
Last updated Aug 19th, 2020 - about 4 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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