Individual provider · Type 1 NPI

Mary L. Theisen, NP

Family Nurse Practitioner · Milwaukee, WI

NPI number 1396248407 Active

Practice location

11002 W Park Pl
Milwaukee, WI 53224-3615

Call (414) 365-8300 Map

Other practice locations

  • 112 E Drexel Ave, Oak Creek, WI 53154-2123 · (414) 365-8300
  • 3232 Pleasant Valley Rd, West Bend, WI 53095-9274 · (414) 365-8300
  • 8503 75th St Ste B, Kenosha, WI 53142-7620 · (414) 365-8300
  • 110 Lone Oak Ln, Hartford, WI 53027-2600 · (414) 365-8300
  • 13111 N Port Washington Rd, Mequon, WI 53097-2416 · (414) 365-8300

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X8349-33 (WI)
Nurse Practitioner 363L00000X8349-33 (WI)
Registered Nurse 163W00000X185282-30 (WI)

Family Nurse Practitioner: Definition to come...

5 other providers at this address

Other family nurse practitioner providers in Milwaukee

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About NPI 1396248407

Mary L. Theisen, NP's National Provider Identifier is 1396248407, issued on Mar 14, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Milwaukee, WI. The record was last updated on Mar 18, 2026.