Individual
GENEVA THRASHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
5078 US HIGHWAY 80 W, OPELIKA, AL 36804-1875
(334) 695-1873
Mailing address
5078 US HIGHWAY 80 W, OPELIKA, AL 36804-1875
(334) 695-1873
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2-060805
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2-060805
LPN LICENSE
AL
Enumeration date
12/21/2021
Last updated
12/21/2021
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