Individual
PATRICIA SMOCK THORNTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4863 N NEVADA AVE STE 250, COLORADO SPRINGS, CO 80918-3951
(719) 255-8001
(719) 255-8044
Mailing address
4863 N NEVADA AVE STE 250, COLORADO SPRINGS, CO 80918-3951
(719) 255-8001
(719) 255-8044
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
0990231
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
97150762
—
CO
Enumeration date
07/14/2010
Last updated
11/20/2020
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