Individual provider · Type 1 NPI

Christopher D. Theobald, FNP

Family Nurse Practitioner · Saranac Lake, NY

NPI number 1174253231 Active

Practice location

2233 State Route 86
Saranac Lake, NY 12983-5644

Specialties and licenses

Taxonomy	Code	License
Family Nurse Practitioner Primary	363LF0000X	349696 (NY)

Family Nurse Practitioner: Definition to come...

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About NPI 1174253231

Christopher D. Theobald, FNP's National Provider Identifier is 1174253231, issued on Jun 13, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Saranac Lake, NY. The record was last updated on Jun 13, 2022.