Individual provider · Type 1 NPI

Elizabeth Thiede, CRNP

Nurse Practitioner · Port Matilda, PA

NPI number 1467998336 Active

Practice location

132 Abigail Ln
Port Matilda, PA 16870-7153

Call (814) 272-7100 Map

Fax (814) 272-6501

Mailing address

100 N Academy Ave
Danville, PA 17822-4903

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000XRN683533 (PA)
Nurse Practitioner Primary 363L00000XSP024313 (PA)

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…

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About NPI 1467998336

Elizabeth Thiede, CRNP's National Provider Identifier is 1467998336, issued on Jan 16, 2017. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Port Matilda, PA. The record was last updated on Nov 24, 2021.