Darla R Theobald in Mankato - Nurse Practitioner
Darla R Theobald - NPI 1043293657
Darla R Theobald is a Nurse Practitioner in Mankato, Minnesota. Darla R Theobald practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Darla R Theobald is 1043293657. The last update date is 2020-09-18.
Darla R Theobald's current location address is 1025 Marsh St, Mankato, Minnesota. You can contact this provider via phone number 5076254031. The mailing address for Darla R Theobald is 1025 Marsh St, Mankato, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Darla R Theobald |
|---|---|
| Address | 1025 Marsh St, Mankato, Minnesota |
| Phone Number | 5076254031 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | NP |
NPI Number Detail
| NPI Number | 1043293657 |
|---|---|
| Provider Enumeration Date | 2005-11-29 |
| Last Updated Date | 2020-09-18 |
Provider Mailing Address Detail
| Address | 1025 Marsh St |
|---|---|
| City | Mankato |
| State | Minnesota (MN) |
| Post Code | 560014752 |
| Phone Number | 5076254031 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | R1159484 |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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What is the unique 10-digit identification code issued to Darla R Theobald by the Centers for Medicare & Medicaid Services?
The Darla R Theobald has been assigned the NPI (National Provider Identifier) 1043293657 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where Darla R Theobald is physically located?
The Darla R Theobald is physically situated at the following address: 1025 Marsh St, Mankato, MN, 560014752.
What is Darla R Theobald's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Darla R Theobald is Nurse Practitioner, and the taxonomy classification code that categorizes this area of expertise is 363L00000X.
On what date did the Darla R Theobald receive its 1043293657 assignment from the Centers for Medicare & Medicaid Services?
The Darla R Theobald was assigned its 1043293657 by the Centers for Medicare & Medicaid Services on 2005-11-29.
As of what date were the details pertaining to Darla R Theobald last refreshed?
The information related to the Darla R Theobald, including its address, specialty, and other relevant details, was last updated on 2020-09-18.