Healthcare Provider Details

I. General information

NPI: 1740126531
Provider Name (Legal Business Name): ASHTON THORNTON RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/25/2026
Last Update Date: 04/25/2026
Certification Date: 04/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1326 SUNVIEW DR
O FALLON MO
63366-3443
US

IV. Provider business mailing address

1326 SUNVIEW DR
O FALLON MO
63366-3443
US

V. Phone/Fax

Practice location:
  • Phone: 573-795-0802
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number2022002618
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: