Individual
ELLEN COLLEY THRASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
185 MITYLENE PARK LN, MONTGOMERY, AL 36117-7302
(334) 387-0948
(334) 387-0955
Mailing address
185 MITYLENE PARK LN, MONTGOMERY, AL 36117-7302
(334) 387-0948
(334) 387-0955
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1-169953
AL
Other
Enumeration date
06/19/2024
Last updated
06/19/2024
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