IndividualActive
Beth Thielking, CPNP
NPI 1902068547 · Pediatric Nurse Practitioner · Indianapolis, IN
Provider details
- NPI number
- 1902068547
- Entity type
- Individual
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CPNP
- Sex
- Female
- Sole proprietor
- No
- License
- 28078636 (IN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
410 W 10th St
Hs1001
Indianapolis, IN 46202-3010
Phone: (317) 274-8812
Fax: (317) 274-0133
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1026
Indianapolis, IN 46206-1026
Registry dates
- Enumerated
- 2008-06-25
- Last updated
- 2020-11-19
- Certified
- 2020-11-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.