Individual
ANN RENAE THORNOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APNP - FAMILY
Contact information
Practice address
100 COUNTY ROAD B, SHAWANO, WI 54166-7072
(715) 524-2161
(920) 526-3461
Mailing address
122 E. COLLEGE AVE, APPLETON, WI 54911
(920) 831-1922
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
8062-33
WI
Other
Enumeration date
12/19/2017
Last updated
09/02/2019
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