MEDICARE: VALERIE JANE THORNTON CRNA

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
1	367500000X	Certified Registered Nurse Anesthetist	12345	FL
2	367500000X	Certified Registered Nurse Anesthetist	APRN11039870	FL

General Provider Information

NPI Number	:	1699523746
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VALERIE JANE THORNTON CRNA

Provider Business Mailing Address
First Line	:	9311 MIDDLE OAK DR
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33967-5292
Country	:	US
Telephone Number	:	757-470-0922
Fax Number	:

Provider Business Practice Location Address
First Line	:	9311 MIDDLE OAK DR
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33967-5292
Country	:	US
Telephone Number	:	757-470-0922
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/13/2024
Last Update Date	:	07/09/2025

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