Individual
CHARLES C THORNTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
681 HARLEYSVILLE PIKE, HARLEYSVILLE, PA 19438-2854
(267) 933-5205
(267) 932-8660
Mailing address
587 WARTMAN ST, PHILADELPHIA, PA 19128-3238
(267) 250-4269
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
SP020433
PA
Other
Enumeration date
07/29/2019
Last updated
07/29/2019
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