Individual
MRS. DIANE RAE THORSON
Active
Individual
MRS. DIANE RAE THORSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. , R.N., PHN
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
R 077983-6
MN
163WC1500X
Community Health Registered Nurse
04994
MN
Other
Enumeration date
06/12/2009
Last updated
06/12/2009
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