Individual
MS. MICHELLE RAINES THRASHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP
Contact information
Practice address
1700 CENTER ST, DIVISION OF NEONATOLOGY, MOBILE, AL 36604-3301
(251) 415-1055
Mailing address
9245 GULFCREST RD, CHUNCHULA, AL 36521-3053
(251) 866-0146
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
1-059530
AL
Other
Enumeration date
04/09/2012
Last updated
04/09/2012
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