Individual provider · Type 1 NPI

Mary Elsa Theobald, NP

Nurse Practitioner · Brooks, ME

NPI number 1356418685 Active

Practice location

55 Reynolds Road
Brooks, ME 04915

Fax (207) 722-3183

Mailing address

PO Box 159
Brooks, ME 04921-0159

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XR030807 (ME)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

Another provider at this address

About NPI 1356418685

Mary Elsa Theobald, NP's National Provider Identifier is 1356418685, issued on Nov 30, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Brooks, ME. The record was last updated on Jul 8, 2007.