Individual provider · Type 1 NPI

Thea Fleming, R.N.

Pediatric Nurse Practitioner · Minneapolis, MN

NPI number 1962858100 Active

Practice location

2525 Chicago Ave
Minneapolis, MN 55404-4518

Mailing address

1609 E 53rd St
Minneapolis, MN 55417-1816

Specialties and licenses

TaxonomyCodeLicense
Pediatric Registered Nurse 163WP0200XR 188429-6 (MN)
Pediatric Nurse Practitioner Primary 363LP0200XCNP 4685 (MN)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1962858100

Thea Fleming, R.N.'s National Provider Identifier is 1962858100, issued on May 6, 2016. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Minneapolis, MN. The record was last updated on Jul 22, 2016.