Mrs Jennifer Marie Thiellen, APRN | |
801 Harmony St Ste 202, Council Bluffs, IA 51503-3106 | |
(712) 308-1563 | |
Not Available |
Full Name | Mrs Jennifer Marie Thiellen |
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Gender | Female |
Speciality | Nurse Practitioner - Acute Care |
Location | 801 Harmony St Ste 202, Council Bluffs, Iowa |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568710739 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2100X | Nurse Practitioner - Acute Care | 111382 (Nebraska) | Primary |
Entity Name | Omaha Integrative Care, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023302247 PECOS PAC ID: 4183875776 Enrollment ID: O20121107000452 |
Mailing Address | Practice Location Address |
---|---|
Mrs Jennifer Marie Thiellen, APRN 11284 Northridge Dr, Gretna, NE 68028-6905 Ph: (402) 332-5053 | Mrs Jennifer Marie Thiellen, APRN 801 Harmony St Ste 202, Council Bluffs, IA 51503-3106 Ph: (712) 308-1563 |
Jennifer L Achenbach, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 800 Mercy Dr, Council Bluffs, IA 51503 Phone: 712-325-2484 | |
Mallory Lloyd, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 808 E Pierce St, Council Bluffs, IA 51503 Phone: 402-740-6503 | |
Michelle Rude, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 933 E Pierce St, Council Bluffs, IA 51503 Phone: 712-396-4360 Fax: 712-396-7069 | |
Laura M Ayers, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 800 Mercy Dr, Council Bluffs, IA 51503 Phone: 712-328-5252 | |
Shannon Ranae Stafford, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1604 2nd Ave, Council Bluffs, IA 51501 Phone: 712-322-6650 Fax: 712-328-7985 | |
Brian Luedke, RN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 933 E Pierce St, Council Bluffs, IA 51503 Phone: 712-396-4360 Fax: 712-396-7069 | |
Ms. Emily Wickham, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3434 W Broadway Ste 100, Council Bluffs, IA 51501 Phone: 712-325-0022 |