Individual provider · Type 1 NPI

Lacie Michelle Theis, ARNP, PMHNP-BC

Psychiatric/Mental Health Nurse Practitioner · Waverly, IA

NPI number 1871105916 Active

Practice location

111 10th St SW
Waverly, IA 50677-2925

Mailing address

814 Easton Ave
Waterloo, IA 50702-3916

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XG159694 (IA)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1871105916

Lacie Michelle Theis, ARNP, PMHNP-BC's National Provider Identifier is 1871105916, issued on Aug 19, 2020. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Waverly, IA. The record was last updated on Aug 19, 2020.