Individual
REBECCA MARIE THORNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1761 BEALL AVE STE 3B, WOOSTER, OH 44691-2342
(330) 202-5676
(330) 202-5677
Mailing address
2505 HAPPY VALLEY RD, WOOSTER, OH 44691-8566
(773) 573-6420
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
10179
OH
363LA2200X
Adult Health Nurse Practitioner
209005088
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2893061
—
OH
Enumeration date
10/03/2006
Last updated
02/02/2022
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