Provider Demographics
NPI:1033618442
Name:THEYS, NADIA (PMHNP)
Entity Type:Individual
Prefix:MRS
First Name:NADIA
Middle Name:
Last Name:THEYS
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:
Other - First Name:NADIA
Other - Middle Name:
Other - Last Name:LOPEZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:ANP
Mailing Address - Street 1:12965 SAN FILIPPO RD
Mailing Address - Street 2:
Mailing Address - City:SANTA ROSA
Mailing Address - State:TX
Mailing Address - Zip Code:78593-2112
Mailing Address - Country:US
Mailing Address - Phone:956-270-2251
Mailing Address - Fax:
Practice Address - Street 1:12965 SAN FILIPPO RD
Practice Address - Street 2:
Practice Address - City:SANTA ROSA
Practice Address - State:TX
Practice Address - Zip Code:78593-2112
Practice Address - Country:US
Practice Address - Phone:956-270-2251
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-12
Last Update Date:2022-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP136544363LP0808X, 163WP0807X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163WP0807XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Child & Adolescent