Individual
STEPHAN THORNTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, ARNP
Contact information
Practice address
2502 SAND MINE RD, DAVENPORT, FL 33897-3402
(855) 353-7546
(863) 216-5896
Mailing address
1450 6TH ST SE, WINTER HAVEN, FL 33880-4505
(863) 293-2147
(863) 294-2767
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
ARNP9344161
FL
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN9344161
FL
Other
Enumeration date
12/01/2016
Last updated
05/20/2020
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