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Individual

BRIDGET C THORNE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1111 RONALD REAGAN PKWY, AVON, IN 46123-7085
(317) 217-3500
(317) 217-3551
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71007933A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000001383546
ANTHEM PTAN
IN
01
068010607
MEDICARE PTAN
IN
01
264430743
MEDICARE PTAN
IN
01
267030117
MEDICARE PTAN
IN
05
300013953
IN
01
P02429781
RAILROAD PTAN
IN
01
Q00006040
RAILROAD PTAN
IN
Enumeration date
04/25/2018
Last updated
08/26/2024
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