Individual provider · Type 1 NPI
Blair A. Theis
Pediatric Nurse Practitioner · Festus, MO
NPI number
1013568120
Active
Practice location
35 Goodwin Dr
Festus, MO 63028-4122
Fax (636) 931-7007
Other practice locations
- 1309 Maple St, Farmington, MO 63640-7641 · (573) 756-4343
- 1 Childrens Pl, St. Louis, MO 63110-1002 · (314) 454-6000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 2013035893 (MO) |
Pediatric Nurse Practitioner: Definition to come...
8 other providers at this address
- Ccpartners LLCPediatric Adolescent Medicine Physician Festus, MO NPI 1487857033
- Ashley N. Reese, RNCPNPCritical Care Pediatric Nurse Practitioner Festus, MO NPI 1477063253
- Daniel Gerrit Rudolph, MDPediatrics Physician Festus, MO NPI 1861477085
- Erin Patricia Donovan, RNCPNPPediatric Nurse Practitioner Festus, MO NPI 1457336166
- Joshua Paul Boldt, MDPediatrics Physician Festus, MO NPI 1013992189
- Louise Jadwisiak, RN, CPNPPediatric Nurse Practitioner Festus, MO NPI 1104215086
- Morgan E. Korder, RNCPNPPediatric Nurse Practitioner Festus, MO NPI 1467327114
- Sean Christopher RudolphAthletic Trainer Festus, MO NPI 1114478120
Other pediatric nurse practitioner providers in Festus
- Louise Jadwisiak, RN, CPNPPediatric Nurse Practitioner Festus, MO NPI 1104215086
- Erin Patricia Donovan, RNCPNPPediatric Nurse Practitioner Festus, MO NPI 1457336166
- Morgan E. Korder, RNCPNPPediatric Nurse Practitioner Festus, MO NPI 1467327114
- Christina Anh Broyles, FNPPediatric Nurse Practitioner Festus, MO NPI 1487309571
- Sandra Ann Turpen, PNPPediatric Nurse Practitioner Festus, MO NPI 1952033052
About NPI 1013568120
Blair A. Theis's National Provider Identifier is 1013568120, issued on Sep 20, 2019. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Festus, MO. The record was last updated on Feb 24, 2022.