| Andrea Thiede, | |
| 2213 Cherry St, Toledo, OH 43608-2603 | |
| (192) 518-0194 | |
| Not Available | 
| Full Name | Andrea Thiede | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Family | 
| Location | 2213 Cherry St, Toledo, Ohio | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1205474509 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363L00000X | Nurse Practitioner | APRN.CNP.026076 (Ohio) | Secondary | 
| 363LF0000X | Nurse Practitioner - Family | APRN.CNP.026076 (Ohio) | Primary | 
| Entity Name | Mercy Health Physicians-north Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1609000769 PECOS PAC ID: 2668522400 Enrollment ID: O20090616000750 | 
| Entity Name | Mercy Health Physicians North Specialty Care Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1306468418 PECOS PAC ID: 1951707884 Enrollment ID: O20210901001534 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Andrea Thiede, 2200 Jefferson Ave Fl 5, Toledo, OH 43604-7102 Ph: () - | Andrea Thiede, 2213 Cherry St, Toledo, OH 43608-2603 Ph: (192) 518-0194 | 
| Jennifer Dawn Trost, NNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2213 Cherry St, Toledo, OH 43608 Phone: 419-251-4360 Fax: 419-251-5117 | |
| Tearra Breeze Obafolahan, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6916 Cloister Rd, Toledo, OH 43617 Phone: 567-298-2344 | |
| Rocio Crosby, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2213 Cherry St, Toledo, OH 43608 Phone: 419-251-2878 | |
| Lisa Bainter, APRN-NPC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2109 Hughes Dr Ste 760, Toledo, OH 43606 Phone: 419-291-7555 Fax: 419-479-2696 | |
| Natalie Rae Marienthal, MSN, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2100 W Central Ave Ste 100a, Toledo, OH 43606 Phone: 419-291-8400 | |
| Karen Caputo, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2142 N Cove Blvd, Toledo, OH 43606 Phone: 419-291-4101 | |
| Michelle Michael, RN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3350 Collingwood Blvd, Toledo, OH 43610 Phone: 419-255-9585 |