Healthcare Provider Details

I. General information

NPI: 1427728880
Provider Name (Legal Business Name): THELMA JEAN STIEGLER FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: THELMA JEAN ST.AMOUR

II. Dates (important events)

Enumeration Date: 09/16/2021
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18947 JOHN J WILLIAMS HWY UNIT 101
REHOBOTH BEACH DE
19971-4480
US

IV. Provider business mailing address

1105 SIXTH ST
TRAVERSE CITY MI
49684-2345
US

V. Phone/Fax

Practice location:
  • Phone: 302-645-3010
  • Fax: 302-645-5718
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberLG-0013128
License Number StateDE
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number12020
License Number StateMN
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number4704253509
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: