Individual provider · Type 1 NPI

Sonja Theobald

Psychiatric/Mental Health Nurse Practitioner · Minneapolis, MN

NPI number 1073129300 Active

Practice location

615 1st Ave NE Ste 310
Minneapolis, MN 55413-2419

Fax (612) 436-0163

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X7748 (MN)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1073129300

Sonja Theobald's National Provider Identifier is 1073129300, issued on Sep 22, 2020. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Minneapolis, MN. The record was last updated on Apr 1, 2021.