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NPI Code Detail

MEDICARE: MRS. NICHOLE THORNE FNP, PMHNP

MEDICARE: MRS. NICHOLE THORNE FNP, PMHNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner95010881CA
2363LP0808XPsychiatric/Mental Health Nurse Practitioner815623NV
3363LF0000XFamily Nurse Practitioner815623NV
4363LP0808XPsychiatric/Mental Health Nurse Practitioner95010881CA
5363LP0808XPsychiatric/Mental Health Nurse Practitioner0998004CO

General Provider Information

NPI Number : 1528519519
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. NICHOLE THORNE FNP, PMHNP
Provider Business Mailing Address
First Line : 1600 BROADWAY STE 1600
Second Line :
City : DENVER
State : CO
Zip : 80202-4916
Country : US
Telephone Number : 619-639-9730
Fax Number : 619-374-1359
Provider Business Practice Location Address
First Line : 1600 BROADWAY STE 1600
Second Line :
City : DENVER
State : CO
Zip : 80202-4916
Country : US
Telephone Number : 619-639-9730
Fax Number : 619-374-1359
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/14/2016
Last Update Date : 04/17/2023

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