Threasa Walser CNP

NPI 1962500249 - Nurse Practitioner - 363LX0001X

NPI Details
NPI 1962500249
Gender Female
Enumeration Date 09/20/2006
Last Updated 03/21/2013
Entity Type Individual
Active Over 10 years ago
Practice Location
1701 SOUTH BLVD E
SUITE 200
ROCHESTER HILLS MI, 48307-6122, US
Phone (248) 997-5805
Fax (248) 997-5811
Business Location
1701 SOUTH BLVD E
SUITE 200
ROCHESTER HILLS MI, 48307-6122, US
Phone (248) 997-5805
Fax (248) 997-5811
Toxanomy
Taxonomy Code 363LX0001X
License State Michigan
License Number 4704201072
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According to our database, Threasa Walser CNP NPI is 1962500249, taxonomy code is 363LX0001X and license number is 4704201072, license state is located at Michigan. Threasa Walser CNP physically located at 1701 South Blvd E, Rochester Hills MI, 48307-6122. NPI Number Threasa Walser CNP has the Individual type.

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1962500249 NPI number is provided on an as is basis without warranty of any kind. 1962500249 is maintained by the National Plan & Provider Enumeration System. The contents of Threasa Walser CNP are for informational purposes only.