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Individual

MS. JOAN THORNE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
332 N LAUDERDALE ST # MS 0515, C/O DANA CANNON, MEMPHIS, TN 38105-2729
(901) 495-3006
(901) 495-3842
Mailing address
332 N LAUDERDALE ST, MEMPHIS, TN 38105-2794
(901) 495-3006
(901) 495-3842

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
66483
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00126471
MS
05
1132586
LA
05
274929
OR
05
3602528
TN
05
794314
AZ
05
8052311
NC
05
82736863
NM
05
8950393
VA
05
QAN020
SC
Enumeration date
06/27/2005
Last updated
11/29/2007
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