Individual
MRS. TAMARA KAY THORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
5348 LAMME RD, MORAINE, OH 45439-3215
(937) 534-4600
(937) 522-8799
Mailing address
1 PRESTIGE PL STE 550, MIAMISBURG, OH 45342-6115
(937) 762-1310
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN.CNP.12381
OH
363LP2300X
Primary Care Nurse Practitioner
COA,12381-NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0051257
—
OH
01
—
H013688
MEDICARE - OHIO
OH
Enumeration date
06/16/2011
Last updated
11/17/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us