Individual
THERESA CAROLINE THORNHILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1201 W 38TH ST, AUSTIN, TX 78705-1006
(512) 324-1085
Mailing address
4009 SABIO DR APT 180, AUSTIN, TX 78749-4805
(512) 913-4634
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
1154420
TX
363LN0005X
Critical Care Neonatal Nurse Practitioner
1154420
TX
Other
Enumeration date
12/14/2023
Last updated
03/04/2024
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