Individual
LINDA MARIE THORP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
416 S MAIN ST, MANSFIELD, PA 16933-1510
(570) 662-2002
Mailing address
40 W WELLSBORO ST, MANSFIELD, PA 16933-1411
(570) 662-1945
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
SP023045
PA
363L00000X
Nurse Practitioner
Primary
SP023045
PA
Other
Enumeration date
01/12/2021
Last updated
01/12/2021
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