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Individual

MS. ANN THURSTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
N.P.

Contact information

Practice address
2880 INTERNATIONAL CIR # N010, COLORADO SPRINGS, CO 80910-3127
(719) 520-7080
(719) 520-7086
Mailing address
2880 INTERNATIONAL CIR # N010, COLORADO SPRINGS, CO 80910-3127
(719) 520-7080
(719) 520-7088

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
110145
CO
363LF0000X
Family Nurse Practitioner
110145
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
808795
MEMORIAL HEALTH SYSTEMS MEDICARE
CO
05
92958541
CO
Enumeration date
02/06/2006
Last updated
11/20/2018
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