Individual provider · Type 1 NPI
Brianna Leigh Thomalla, CNP
Women's Health Nurse Practitioner · Clear Lake, MN
NPI number
1417539057
Active
Practice location
4902 115th Ave
Clear Lake, MN 55319-9793
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Women's Health Nurse Practitioner Primary | 363LW0102X | 8026 (MN) |
Women's Health Nurse Practitioner: Definition to come...
About NPI 1417539057
Brianna Leigh Thomalla, CNP's National Provider Identifier is 1417539057, issued on Apr 23, 2021. The primary taxonomy on file is Women's Health Nurse Practitioner (363LW0102X), and the practice location is in Clear Lake, MN. The record was last updated on Apr 23, 2021.