LESLIE MARIE THEISEN


Address: 4880 Lawndale St, Detroit, MI 48210-2010
Phone: 3138463718

LESLIE MARIE THEISEN (NPI# 1114400256) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1114400256
Entity Type Individual
Full Name LESLIE MARIE THEISEN
Other Name LESLIE MARIE THEISEN
Credential NP-C
Practice Address 4880 Lawndale St
Detroit
MI 48210-2010
Practice Telephone 3138463718
Practice Fax Number 3138460150
Mailing Telephone 3138466030
Enumeration Date 2018-09-14
Last Update Date 2019-01-22
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363LF0000X Nurse Practitioner
Specialization: Family
209018394 IL Physician Assistants & Advanced Practice Nursing Providers
Y 363LF0000X Nurse Practitioner
Specialization: Family
4704347248 MI Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 4880 LAWNDALE ST
City DETROIT
State MI
Zip Code 48210-2010

Providers in the same location

NPI Name Taxonomy Address Enumeration
1194790071 Josette Marie French Family Medicine 4880 Lawndale St, Detroit, MI 48210-2010 2006-02-22
1891330767 Ruth Meyers Social Worker 4880 Lawndale St, Detroit, MI 48210-2010 2019-11-14
1699248724 Laura Diane Sorrells Case Manager/Care Coordinator 4880 Lawndale St, Detroit, MI 48210-2010 2019-01-11
1942774054 Michael Timothy Carroll Social Worker 4880 Lawndale St, Detroit, MI 48210-2010 2019-01-11
1598238677 Michael Luis Meza Counselor 4880 Lawndale St, Detroit, MI 48210-2010 2019-01-10
1881108405 Christopher Neil Biek Social Worker 4880 Lawndale St, Detroit, MI 48210-2010 2017-11-17
1033631775 American Indian Health and Family Services of Southeastern Mi Inc In Home Supportive Care 4880 Lawndale St, Detroit, MI 48210-2010 2017-07-14
1972955490 Eric Leon Wilkins Social Worker 4880 Lawndale St, Detroit, MI 48210-2010 2016-07-08
1326404120 Amy Runkle Social Worker 4880 Lawndale St, Detroit, MI 48210-2010 2016-01-08
1689039109 Suzanne Fletcher Pappenhagen Student in an Organized Health Care Education/Training Program 4880 Lawndale St, Detroit, MI 48210-2010 2015-12-28
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1518517606 Southwest Solutions Counselor 5716 Michigan, Detroit, MI 48210 2019-09-19
1942676150 Audrey Hall Case Manager/Care Coordinator 6576 Woodrow St, Detroit, MI 48210 2015-08-12
1952705147 Barbara Denise Mccowin-west Technician, Other 6900 Mcgraw, Detroit, MI 48210 2014-10-16
1922259456 Dawn Marie Sanderson Counselor 5613 Livernois, Detroit, MI 48210 2008-10-02
1366552804 American Indian Health and Family Services of Southeastern Mi Inc In Home Supportive Care 4880 Lawndalestreet, Detroit, MI 48210 2006-08-30
1912950163 Irwin Rabinowitz Pharmacist Junction Clinic Pharmacy 4771 Michigan Ave., Detroit, MI 48210 2006-05-18
1295229110 Anne Marie Galus Dentist 5716 Michigan Ave, Detroit, MI 48210 2018-06-15
1124547948 Sarah Fay Walsworth Physician Assistant 5716 Michigan Ave, Detroit, MI 48210 2017-09-13
1538305909 Barbara Ann Menzies-williams Internal Medicine 6550 W Warren Ave, Detroit, MI 48210 2009-01-06
1760678437 Clement T Piaskowski Optometrist 7433 Michigan Ave, Detroit, MI 48210 2007-09-17
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1386243574 Carl Andrew Ballard Nurse Practitioner 2635 Johnson Bottom Rd, Detroit, AL 35552-2731 2020-10-20
1639776164 Jennifer N Fucile Nurse Practitioner 3800 Woodward Ave Apt 702, Detroit, MI 48201-1980 2020-10-07
1649880329 Dedra Delane Ford Nurse Practitioner 18255 Birchcrest Dr, Detroit, MI 48221-2750 2020-08-06
1528695624 Venvisor Health Michigan LLC Nurse Practitioner 400 Renaissance Ctr Ste 200, Detroit, MI 48243-1502 2020-03-26
1558909978 Ruxandra Maria Lazar Nurse Practitioner 5285 Anthony Wayne Dr, Detroit, MI 48202-3947 2019-12-16
1376186460 Fazila Mahmood Siddiqui Nurse Practitioner 22201 Moross Rd Bldg Suite380, Detroit, MI 48236-2169 2019-10-22
1205482692 Ladawn Denise Kennedy Nurse Practitioner 16645 Ilene St, Detroit, MI 48221-3401 2019-08-13
1427600246 Christina Neirinck Nurse Practitioner 2401 St Antoine St, Detroit, MI 48201 2019-07-11
1548821556 Ty R Houston Nurse Practitioner 13100 Corbett St, Detroit, MI 48213-2081 2019-06-21
1235795451 Nekisha Bailey Nurse Practitioner 7501 Parkland, Detroit, MI 48239-1079 2019-05-13
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Competitor

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City DETROIT
Zip Code 48210

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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