Individual
TRACEY THORNTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
211 MAIN ST, WATERVILLE, ME 04901-6117
(207) 877-3400
Mailing address
211 MAIN ST, WATERVILLE, ME 04901-6117
(207) 877-3400
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
CNP231316
ME
Other
Enumeration date
08/15/2023
Last updated
08/15/2023
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