Individual
DORIS J THORNHILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1350 HICKORY ST, MELBOURNE, FL 32901-3224
(321) 434-1771
(321) 434-1775
Mailing address
3300 S FISKE BLVD, ROCKLEDGE, FL 32955-4306
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN2165172
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000257300
—
FL
01
—
AL819X
MEDICARE HF
FL
01
—
APRN2165172
LICENSE
FL
01
—
P01476781
RR MEDICARE
FL
Enumeration date
06/27/2008
Last updated
05/29/2024
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