Individual provider · Type 1 NPI

Gina Bertini Theisen, FNP-C

Family Nurse Practitioner · Wentzville, MO

NPI number 1235640582 Active

Practice location

1603 Wentzville Pkwy
Wentzville, MO 63385-3826

Mailing address

PO Box 955534
St. Louis, MO 63195-5534

Other practice locations

  • 1189 S Perry St Ste 230, Castle Rock, CO 80104-1959 · (303) 688-3434

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000XAPN.0993335-NP (CO)
Family Nurse Practitioner Primary 363LF0000X2020031798 (MO)

Family Nurse Practitioner: Definition to come...

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About NPI 1235640582

Gina Bertini Theisen, FNP-C's National Provider Identifier is 1235640582, issued on Oct 13, 2017. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Wentzville, MO. The record was last updated on Nov 24, 2020.