ETHAN WILLIAM GARYSON THIES APN NPI 1003658964

NPI Information

  • NPI: 1003658964
  • Provider Name: ETHAN WILLIAM GARYSON THIES, APN
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • Address: 401 KINGS HWY S
    CHERRY HILL, NJ
    ZIP 08034
  • Phone: (856) 209-0447

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NPI Details

Ethan William Garyson Thies, APN is a family nurse practitioner in Cherry Hill, NJ. Ethan William Garyson Thies, APN NPI is 1003658964. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

401 KINGS HWY S
CHERRY HILL, NJ
ZIP 08034-500
Phone: (856) 209-0447

The enumeration date for this NPI number is 6/11/2024 and was last updated on 6/11/2024.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily26NJ14996900NEW JERSEYYes

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: 3/30/2025

NPI Synchronization or Removal

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