Individual
MRS. DIANA L THORNBURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
30800 TELEGRAPH RD STE 2800, BINGHAM FARMS, MI 48025-5704
(248) 593-0100
(248) 593-0200
Mailing address
30800 TELEGRAPH RD STE 2800, BINGHAM FARMS, MI 48025-5704
(248) 593-0100
(248) 593-0200
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704159130
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4704159130
RN LICENSE
MI
Enumeration date
10/23/2012
Last updated
10/23/2012
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