Individual
NICHOLE I. THORNTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1856 IRWIN DR BLDG 1058, FORT CARSON, CO 80913-4176
(719) 524-5268
(719) 526-2709
Mailing address
1856 IRWIN DR BLDG 1058, FORT CARSON, CO 80913-4176
(719) 524-5268
(719) 526-2709
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
36454
CO
Other
Enumeration date
09/16/2021
Last updated
09/16/2021
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