Thiel, Mary Alice

Thiel, Mary Alice is an individual health care provider with primary practice located at 26110 Emery Rd Ste 300 , Warrensville Heights OH 44128-5788. 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. Thiel, Mary Alice can be contacted via phone (440) 368-6868.

Contact Information

Primary practice address
26110 Emery Rd Ste 300 Warrensville Heights OH 44128-5788
Phone: (440) 368-6868
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X APRN.CNP.08370 Ohio

Profile Details

NPI number 1205964038
LBN Legal business name Thiel, Mary Alice
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2007
Last updated Feb 20th, 2024 - about 10 months 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 1205964038 NPPES
Ohio MEDICAID 0092977

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