Individual
MRS. ANGELA NICOLE THORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PN
Contact information
Practice address
609 W COURT ST STE B, WINNFIELD, LA 71483-2686
(318) 209-4646
(318) 209-4649
Mailing address
609 W COURT ST, WINNFIELD, LA 71483-2681
(318) 623-2716
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
AP05870
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
18001139
—
LA
05
—
1800139
—
LA
Enumeration date
09/16/2009
Last updated
04/26/2021
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