Healthcare Provider Details

I. General information

NPI: 1003401894
Provider Name (Legal Business Name): DANICE THORNE APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/04/2021
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

54 SERENITY LN
HERON MT
59844-9502
US

IV. Provider business mailing address

PO BOX 1642
TROUT CREEK MT
59874-1642
US

V. Phone/Fax

Practice location:
  • Phone: 406-847-4400
  • Fax:
Mailing address:
  • Phone: 406-827-8271
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number174511
License Number StateMT
# 2
Primary TaxonomyN
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License NumberRN48933
License Number StateMT
# 3
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN114486
License Number StateHI
# 4
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN-4136
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: