Individual
HANNAH ELIZABETH THORNTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6700 KIRKVILLE RD, SUITE A, EAST SYRACUSE, NY 13057-9305
(315) 463-2013
(315) 463-2019
Mailing address
6700 KIRKVILLE RD, SUITE A, EAST SYRACUSE, NY 13057-9305
(315) 463-2013
(315) 463-2019
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
2295111
MA
363LP0200X
Pediatric Nurse Practitioner
4791
CT
363LP0200X
Pediatric Nurse Practitioner
Primary
F382585
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05397719
—
NY
Enumeration date
09/08/2011
Last updated
03/26/2021
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