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Renee Theisen

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

900 23rd St NW, Washington, DC 20037-2342

PECOS Enrollment

Based on the most recent information from CMS, provider Renee Theisen is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1750534152
Provider Type
Individual
Full Name
Theisen, Renee
Credential
FNP

Gender
Female
Sole Proprietor
Yes
Enumeration Date
10/29/2008
Last Updated
12/21/2022

Contact Information

Practice Location

900 23rd St NW, Washington, DC 20037-2342

(202) 715-4000

(202) 715-4015

Mailing Location

3551 39th St NW, Apt 516f, Washington, DC 20016-3074

(703) 586-3484

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License RN1002854 District of Columbia
Code 363LF0000X	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 0024167985 Virginia

Renee Theisen

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Strickland, Annabel Mcelroy

Sands, Lindsey

Habtewold, Emnet A

Le, Jennifer

District Hospital Partners Lp

Culleton, Lexi Vick

Blue, Brenda B

Aminrazavi, Marylynn

Alzaben, Taylor

Sohrabi, Zari