Provider Demographics
NPI:1831431949
Name:THIEL, ASHLEY ANN (DNP, PMHNP)
Entity type:Individual
Prefix:DR
First Name:ASHLEY
Middle Name:ANN
Last Name:THIEL
Suffix:
Gender:F
Credentials:DNP, PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24 MAIN ST N
Mailing Address - Street 2:SUITE K
Mailing Address - City:MINOT
Mailing Address - State:ND
Mailing Address - Zip Code:58703-3104
Mailing Address - Country:US
Mailing Address - Phone:701-389-8736
Mailing Address - Fax:
Practice Address - Street 1:24 MAIN ST N
Practice Address - Street 2:SUITE K
Practice Address - City:MINOT
Practice Address - State:ND
Practice Address - Zip Code:58703-3104
Practice Address - Country:US
Practice Address - Phone:701-389-8736
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-27
Last Update Date:2017-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NDR34419363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health