Individual
REBEKAH THURSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AG-ACNP
Contact information
Practice address
122 WYOMING ST, DAYTON, OH 45409-2731
(937) 223-4461
(937) 449-7603
Mailing address
122 WYOMING ST, DAYTON, OH 45409-2731
(937) 223-4461
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
315408
OH
363LA2100X
Acute Care Nurse Practitioner
Primary
00028219
OH
Other
Enumeration date
05/07/2019
Last updated
07/09/2019
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