Individual provider · Type 1 NPI
Rebecca Aliza Theise, APRN
Pediatric Nurse Practitioner · Eldersburg, MD
NPI number
1629451190
Active
Practice location
1645 Liberty Rd Ste 205
Eldersburg, MD 21784-6542
Mailing address
3911 N Charles St
Baltimore, MD 21218-1733
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | R226346 (MD) |
Pediatric Nurse Practitioner: Definition to come...
2 other providers at this address
Other pediatric nurse practitioner providers in Eldersburg
About NPI 1629451190
Rebecca Aliza Theise, APRN's National Provider Identifier is 1629451190, issued on Jul 2, 2015. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Eldersburg, MD. The record was last updated on Aug 22, 2023.