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Individual
SHEILA THRONEBERRY
Active
Individual
SHEILA THRONEBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.R.N.P.
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3003436
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000346469
ANTHEM BCBS
KY
05
—
78007374
—
KY
01
—
K167152
NCMA MEDICARE
KY
01
—
P400033806
MEDICARE
KY
Enumeration date
06/06/2006
Last updated
04/15/2021
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