Individual
JULIA A THORINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1116 N 16TH ST, LAFAYETTE, IN 47904-2119
(765) 428-5850
(765) 428-5851
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28158663A
IN
363LF0000X
Family Nurse Practitioner
28158663A
IN
363LF0000X
Family Nurse Practitioner
Primary
71003391A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28158663A
REGISTERED NURSE
IN
Enumeration date
09/08/2010
Last updated
10/04/2023
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