Individual
THERESA THORPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20 SHERATON DR, ALTOONA, PA 16601-9316
(814) 941-1384
(814) 941-1628
Mailing address
201 CHESTNUT AVE, ALTOONA, PA 16601-4927
(814) 946-5411
(814) 940-8471
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN235168L
PA
363L00000X
Nurse Practitioner
Primary
UP005862B
PA
Other
Enumeration date
10/03/2012
Last updated
04/16/2021
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