Individual
REGINA THORP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
301 ANDREWS AVE, FORT RUCKER, AL 36362
(800) 261-7193
Mailing address
301 ANDREWS AVE., FORT RUCKER, AL 36362-5333
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
AP61063188
WA
363LF0000X
Family Nurse Practitioner
AP61063188
WA
Other
Enumeration date
10/05/2017
Last updated
06/15/2023
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