Katrina Thelisme

NPI 1467281436 · on the registry since 2024

Practice

Address: 2130 Millburn Ave
Maplewood, NJ 07040
Phone: (973) 843-7149
Organisation at this address: Avedamed Llc
Kidney Care Pa
A Healthy Mind
Geneva Group Llc
Wanda Myers, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 44

Registry record

Primary taxonomy: 363LF0000X
363LF0000X
Licence states on file: NJ
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2025-03-04

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey