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MICAELA T THEISEN DNP FNP-BC NPI 1902158421


NPI Information

NPI: 1902158421
Provider Name: MICAELA T THEISEN, DNP, FNP-BC
Classification: Nurse Practitioner - 363L00000X
Entity Type: Individual
Organization: COGENT HEALTHCARE OF WASHINGTON, PC

PECOS Registration: Yes

Address:
HWY 191 AND HOSPITAL DRIVE
CHINLE, AZ
ZIP 86503
Phone: (928) 674-7090
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Micaela T Theisen, DNP, FNP-BC is a nurse practitioner in Chinle, AZ with 11 years of experience. The provider is (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. Micaela T Theisen, DNP, FNP-BC NPI is 1902158421. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduation Year:2013

The provider's business location address is:

HWY 191 AND HOSPITAL DRIVE
CHINLE, AZ
ZIP 86503
Phone: (928) 674-7090

The NPI 1902158421 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/8/2012 and was last updated on 5/15/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207P00000XEmergency MedicineAP60577678WASHINGTONNo
2363L00000XNurse PractitionerAP60577678WASHINGTONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.