IndividualActive
Brianna Thomalla, CNP
NPI 1417539057 · Women's Health Nurse Practitioner · Clear Lake, MN
Provider details
- NPI number
- 1417539057
- Entity type
- Individual
- Primary specialty
- Women's Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CNP
- Sex
- Female
- Sole proprietor
- No
- License
- 8026 (MN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
4902 115th Ave
Clear Lake, MN 55319-9793
Phone: (320) 333-6109
Approximate (ZIP-level) locationGet directions
Mailing address
4902 115th Ave
Clear Lake, MN 55319-9793
Registry dates
- Enumerated
- 2021-04-23
- Last updated
- 2021-04-23
- Certified
- 2021-04-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.