Individual
SARAH ELYSE THORNBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
500 N 13TH ST, PHILADELPHIA, PA 19123-3955
(267) 636-6008
(800) 288-5089
Mailing address
500 N 13TH ST, PHILADELPHIA, PA 19123-3955
(267) 636-6008
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN637670
PA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
SP015312
PA
Other
Enumeration date
09/02/2015
Last updated
03/11/2026
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