NPI 1003658964

Ethan William Garyson Thies, APN

Practitioner Family Nurse Practitioner Cherry Hill, NJ

Practice location

Address: 401 Kings Hwy S, Cherry Hill, NJ 08034-2500
Phone: (856) 209-0447
Mailing address: 1 Federal St STE 200, Camden, NJ 08103-1088

Registered specialties

Family Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LF0000X Licence 26NJ14996900 (NJ)

Other Nurse Practitioner providers in New Jersey →

Registry record

NPI: 1003658964
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 Jun 2024
Record last updated: 31 Mar 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.