Kristin Marie Theetge in Orange - Adult Health
Kristin Marie Theetge - NPI 1053440826
Kristin Marie Theetge is a Adult Health in Orange, California. Kristin Marie Theetge practices all healthcare services and medical treatments related to Adult Health. The NPI Number for Kristin Marie Theetge is 1053440826. The last update date is 2012-02-21.
Kristin Marie Theetge's current location address is 1010 W La Veta Ave Ste 610, Orange, California. You can contact this provider via phone number 7142852311 and fax number 7142852319. The mailing address for Kristin Marie Theetge is 1010 W La Veta Ave Ste 610, Orange, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kristin Marie Theetge |
|---|---|
| Address | 1010 W La Veta Ave Ste 610, Orange, California |
| Phone Number | 7142852311 |
| Fax Number | 7142852319 |
| Sole Proprietor | Y |
| Credentials | NP |
NPI Number Detail
| NPI Number | 1053440826 |
|---|---|
| Provider Enumeration Date | 2007-03-05 |
| Last Updated Date | 2012-02-21 |
Provider Mailing Address Detail
| Address | 1010 W La Veta Ave Ste 610 |
|---|---|
| City | Orange |
| State | California (CA) |
| Post Code | 928684306 |
| Phone Number | 7142852311 |
| Fax Number | 7142852319 |
Provider's Primary Taxonomy Detail
| Speciality | Adult Health |
|---|---|
| Taxonomy | 363La2200X |
| Licence No | 16619 |
|
Definition: An advanced practice registered nurse expert in providing primary and specialty healthcare services to adult patients. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 639048 | CA | REGISTERED NURSE LICENSE |
Post Comment/ Review Below
What is the unique identifier code issued to Kristin Marie Theetge by the Centers for Medicare & Medicaid Services?
The Kristin Marie Theetge has been assigned the NPI (National Provider Identifier) 1053440826. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Kristin Marie Theetge?
The Kristin Marie Theetge is situated at 1010 W La Veta Ave Ste 610, in the city of Orange, state of CA, with the zip code 928684306.
What is Kristin Marie Theetge's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Kristin Marie Theetge is Adult Health, and the taxonomy code that categorizes this field of expertise is 363La2200X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1053440826 to Kristin Marie Theetge?
The Centers for Medicare & Medicaid Services originally issued the 1053440826 to Kristin Marie Theetge on 2007-03-05.
When was the Kristin Marie Theetge's information last updated?
The Kristin Marie Theetge's information was last updated on 2012-02-21.
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