Individual provider · Type 1 NPI
Lisa Renee Thielke, APRN, CNP, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Willmar, MN
NPI number
1699461095
Active
Practice location
1708 1st St S
Willmar, MN 56201-4228
Mailing address
28 NW 4th St Ste A
Grand Rapids, MN 55744-2714
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 10088 (MN) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
2 other providers at this address
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About NPI 1699461095
Lisa Renee Thielke, APRN, CNP, PMHNP-BC's National Provider Identifier is 1699461095, issued on Apr 18, 2023. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Willmar, MN. The record was last updated on Apr 20, 2023.