Individual
MARY THORP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1010 COLLEGE ST, OXFORD, NC 27565-2507
(919) 690-3237
(919) 690-3213
Mailing address
5213 S ALSTON AVE, DURHAM, NC 27713-4430
(919) 620-4855
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
2400
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
42711
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8050100
—
NC
Enumeration date
02/26/2007
Last updated
04/01/2021
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