Individual
ABIGAIL GRACE THORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP CNM
Contact information
Practice address
1401 OVEN PARK DRIVE, SUITE 201, TALLAHASSEE, FL 32308
(850) 765-8623
(850) 765-0118
Mailing address
PO BOX 15399, TALLAHASSEE, FL 32317-5399
(850) 765-8623
(850) 765-0118
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
ARNP2749192
FL
363L00000X
Nurse Practitioner
Primary
ARNP2749192
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
304656700
—
FL
Enumeration date
07/13/2006
Last updated
06/28/2016
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