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Individual
ELSA LEE THROCKMORTON
Active
Individual
ELSA LEE THROCKMORTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
62683
NM
363LF0000X
Family Nurse Practitioner
Primary
1142971
TX
363LF0000X
Family Nurse Practitioner
ARNP9408065
FL
Other
Enumeration date
08/11/2015
Last updated
01/24/2025
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