Individual
MRS. TRINA SUE THURSBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP, BSN
Contact information
Practice address
1241 NORTHVIEW DR, CRESTVIEW, FL 32536-2216
(850) 000-0000
Mailing address
1241 NORTHVIEW DR, CRESTVIEW, FL 32536-2216
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
ARNP3307162
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002592900
—
FL
Enumeration date
10/23/2007
Last updated
04/18/2018
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