Theobald, Darla R

Theobald, Darla R is an individual health care provider with primary practice located at 1025 Marsh St , Mankato MN 56001-4752. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Theobald, Darla R can be contacted via phone (507) 625-4031.

Contact Information

Primary practice address
1025 Marsh St Mankato MN 56001-4752
Phone: (507) 625-4031
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X R1159484 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 1113 Minnesota

Profile Details

NPI number 1043293657
LBN Legal business name Theobald, Darla R
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2005
Last updated Sep 18th, 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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