Provider Demographics
NPI:1831161215
Name:THESSING, KATHREEN D (RNP)
Entity type:Individual
Prefix:
First Name:KATHREEN
Middle Name:D
Last Name:THESSING
Suffix:
Gender:F
Credentials:RNP
Other - Prefix:
Other - First Name:KATHY
Other - Middle Name:D
Other - Last Name:THESSING
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RNP
Mailing Address - Street 1:32 LAVER CIRCLE
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72210
Mailing Address - Country:US
Mailing Address - Phone:501-455-0255
Mailing Address - Fax:
Practice Address - Street 1:11321 INTERSTATE 30
Practice Address - Street 2:SUITE 201
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72209
Practice Address - Country:US
Practice Address - Phone:501-455-4700
Practice Address - Fax:501-455-9044
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-01
Last Update Date:2008-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARP01571363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner