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Mary Jean Thielman, APRN

Nurse Practitioner in Hartford, CT. Individual provider (NPI-1).

NPI number1215962139
StatusActive
Last updated in NPPESOct 2, 2009

Details

NPI
1215962139
Entity type
Individual (NPI-1)
Name
Mary Jean Thielman
Credential
APRN
Sex
Female
Sole proprietor
No
Enumeration date
Jul 11, 2006
Last updated
Oct 2, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363L00000X Nurse Practitioner000925CTYes

Practice location

80 Seymour Street
Hartford Hospital Surgery Dept
Hartford, CT 06102-5037

Phone 860-545-2840

Mailing address

Po Box 40,000 Dept 634
Hartford Hospital Professional Services
Hartford, CT 06151-0634

Phone 860-545-7602

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