Individual
TRACY ELIZABETH THORNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, APRN
Contact information
Practice address
101 AUPUNI ST STE 108, HILO, HI 96720-4260
(808) 968-0877
Mailing address
1299 KEKUANAOA ST UNIT 6243, HILO, HI 96720-0209
(808) 968-0877
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
2100
HI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2100
HI
Other
Enumeration date
01/27/2017
Last updated
03/10/2021
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