Individual
VIVIAN LEE THORSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
242 GREEN ST STE 107, GARDNER, MA 01440-1336
(978) 630-5050
(978) 630-5059
Mailing address
242 GREEN ST STE 107, GARDNER, MA 01440-1336
(978) 630-5050
(978) 630-5059
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
236438
MA
Other
Enumeration date
12/28/2007
Last updated
12/28/2007
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