Individual
NANNETTE JANE ROGERS THORNTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD/CDE
Contact information
Practice address
421 LINE ST, NEW MADRID, MO 63869-1733
(573) 748-2592
(573) 748-2673
Mailing address
311 MAIN ST, NEW MADRID, MO 63869-1942
(573) 748-2404
(573) 748-2554
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
355856808
—
MO
Enumeration date
12/30/2009
Last updated
12/30/2009
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